Rick J Deroven DDS PC
NPI #1255924601 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1255924601
- Entity Type
- Organization
- Organization Name
- Rick J Deroven DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 17, 2021
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 2340 S COMMERCE RD
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-2174
- Phone
- (248) 624-0676
Authorized Official
- Name
- RICK J DEROVEN, DDS
- Title
- OWNER
- Phone
- (248) 624-0676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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