MISS Elizabeth Anne Vantubergen, DDS

NPI #1477787489 in South Lyon, Michigan

Provider Information

NPI Number: 1477787489
Entity Type: Individual
Name: MISS Elizabeth Anne Vantubergen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 5, 2009
Last Updated: May 5, 2009

Practice Location

Address: 21800 PONTIAC TRAIL
Address 2: STE 100
City: South Lyon
State: Michigan
ZIP Code: 48178
Phone: (248) 437-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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