Individual
DR. ETHAN THOMAS KOLDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2365 S HURON PKWY, ANN ARBOR, MI 48104-5156
(734) 677-8700
(734) 839-4137
Mailing address
2365 S HURON PKWY, ANN ARBOR, MI 48104-5156
(734) 677-8700
(734) 839-4137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901023223
MI
Other
Enumeration date
07/02/2019
Last updated
10/07/2022
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