| NPI | 1881735066 |
|---|---|
| Doing Business As | KENSINGTON VALLEY ENDODONTICS, PC |
| Entity Type | Organization |
| Authorized Contact | ERICH ALEXANDER DITTMAR President 810-225-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901016477) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-07-08 |