DERIK PETER DECONINCK

WARREN, MI
NPI1619002706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: MI  2901017367)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
Mr. DERIK PETER DECONINCK DDS
11300 E 13 MILE RD
WARREN, MI 48093
Phone number: 586-573-6860
Mailing Address
Mr. DERIK PETER DECONINCK DDS
11300 E 13 MILE RD
WARREN, MI 48093
Phone number: 586-573-6860
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