Individual
DR. SIDNEY D ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16770 S WATER TOWER DR, KINROSS CORRECTIONAL FACILITY, KINCHELOE, MI 49788-1637
(906) 495-2282
Mailing address
16770 S WATER TOWER DR, KINROSS CORRECTIONAL FACILITY, KINCHELOE, MI 49788-1637
(906) 495-2282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5315029236
MI
1223G0001X
General Practice Dentistry
5315029236
MI
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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