Organization
ERICH A. DITTMAR, DDS, MSD, PC
Active
Other names
Kensington Valley Endodontics, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICH ALEXANDER DITTMAR D.D.S. (PRESIDENT)
(810) 225-9630
Entity
Organization
Contact information
Practice address
10415 GRAND RIVER RD, SUITE 400, BRIGHTON, MI 48116-6533
(810) 225-9630
Mailing address
10415 E. GRAND RIVER RD, SUITE 400, BRIGHTON, MI 48116
(810) 225-9630
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901016477
MI
Other
Enumeration date
02/09/2007
Last updated
07/08/2008
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