Individual
KORT HIGHDUCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W UNIVERSITY DR STE 303, ROCHESTER, MI 48307-1876
(248) 651-1613
Mailing address
7 W SQUARE LAKE RD, BLOOMFIELD HILLS, MI 48302-0462
(248) 617-3785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602088
MI
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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