ANDRES WILSON SETAPUTRI

SOUTHGATE, MI
NPI1710393095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901021307)
Enumeration Date2014-07-07
Last Update Date2014-07-07
Business Address
Dr. ANDRES WILSON SETAPUTRI DDS
16060 HOLZ DR UNIT 77
SOUTHGATE, MI 48195-2991
Phone number: 734-250-1473
Mailing Address
Dr. ANDRES WILSON SETAPUTRI DDS
16060 HOLZ DR UNIT 77
SOUTHGATE, MI 48195-2991
Phone number: 734-250-1473