Dominic Frank Verderese DDS

NPI 1609058981 - Dentist - 122300000X

NPI Details
NPI 1609058981
Gender Male
Enumeration Date 11/29/2007
Last Updated 11/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
47 HARBOUR VIEW PT
LINWOOD MI, 48634-9479, US
Phone (989) 697-3777
Fax
Business Location
4713 M 61
STANDISH MI, 48658-9422, US
Phone (989) 846-7000
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 12923
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According to our database, Dr. Dominic Frank Verderese DDS NPI is 1609058981, taxonomy code is 122300000X and license number is 12923, license state is located at Michigan. Dominic Frank Verderese DDS physically located at 47 Harbour View Pt, Linwood MI, 48634-9479. NPI Number Dominic Frank Verderese DDS has the Individual type.

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1609058981 NPI number is provided on an as is basis without warranty of any kind. 1609058981 is maintained by the National Plan & Provider Enumeration System. The contents of Dominic Frank Verderese DDS are for informational purposes only.