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Individual

DR. CHRISTOPHER VICTOR VANNESTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
37211 HARPER AVE, SUITE 1-A, CLINTON TOWNSHIP, MI 48036-3074
(586) 465-4488
(586) 465-7854
Mailing address
37211 HARPER AVE, SUITE 1-A, CLINTON TOWNSHIP, MI 48036-3074
(586) 465-4488
(586) 465-7854

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011146
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4040480
MI
Enumeration date
05/16/2007
Last updated
07/08/2007
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