Cornal Ridgell Dmd PC
NPI #1568244382 in Southfield, Michigan
Provider Information
- NPI Number
- 1568244382
- Entity Type
- Organization
- Organization Name
- Cornal Ridgell Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 17, 2023
- Last Updated
- Oct 17, 2023
Practice Location
- Address
- 25296 EVERGREEN RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-1760
- Phone
- (248) 423-9393
Authorized Official
- Name
- DR. CORNAL RIDGELL, DMD
- Title
- GENERAL DENTIST
- Phone
- (248) 423-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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