| Rick J Deroven Dds Pc | |
|
2340 S Commerce Rd Walled Lake MI 48390-2174 | |
| (248) 624-0676 | |
| Not Available |
| Full Name | Rick J Deroven Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2340 S Commerce Rd, Walled Lake, Michigan |
| Authorized Official Name and Position | Rick J Deroven (OWNER) |
| Authorized Official Contact | 2486240676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rick J Deroven Dds Pc 2340 S Commerce Rd Walled Lake MI 48390-2174 Ph: () - | Rick J Deroven Dds Pc 2340 S Commerce Rd Walled Lake MI 48390-2174 Ph: (248) 624-0676 |
| NPI Number | 1255924601 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255924601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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