Individual
VANESSA MONIQUE DONASTORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2215 FULLER RD # 160, ANN ARBOR, MI 48105-2303
(734) 845-3528
Mailing address
2215 FULLER RD # 160, ANN ARBOR, MI 48105-2303
(734) 845-3528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901022222
DENTAL LICENSE
MI
Enumeration date
05/25/2017
Last updated
07/21/2022
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