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1609393438
MONA DERENTZ
BINGHAM FARMS, MI
NPI
1609393438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 100011)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
Dr. MONA DERENTZ DDS
31370 TELEGRAPH RD
BINGHAM FARMS, MI 48025-4356
Phone number: 805-630-4541
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Mailing Address
Dr. MONA DERENTZ DDS
18 AUTUMN LEAF DR
THOUSAND OAKS, CA 91360-2607
Phone number: 805-630-4541
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