Individual
DR. KRISTEN CHARLENE PONICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22241 JOHN R RD, HAZEL PARK, MI 48030-1716
(248) 336-0356
Mailing address
22241 JOHN R RD, HAZEL PARK, MI 48030-1716
(248) 336-0356
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901020315
MI
Other
Enumeration date
08/27/2010
Last updated
01/18/2024
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