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Eddie Pantzlaff, DDS
Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan
NPI 1801248471

Eddie Pantzlaff is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Eddie Pantzlaff practices in Ann Arbor, MI and has the professional credentials of DDS. The NPI Number for Eddie Pantzlaff is 1801248471 and holds a License No. 2901022023 (Michigan).

The current practice location address for Eddie Pantzlaff is 1500 E. Medical Center Drive, Ann Arbor, MI and can be reached out via phone at 734-936-5950.

Location: 1500 E. Medical Center Drive, Ann Arbor, MI, 48109-5222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801248471
Provider Name
Eddie Pantzlaff
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1500 E. Medical Center Drive, Ann Arbor, MI, 48109-5222
Phone Number
734-936-5950
Fax Number
Provider Enumeration Date
07/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 E. Medical Center Drive
City
Ann Arbor
State
Michigan
Zip
48109-5222
Phone Number
734-936-5950
Fax Number
person
Provider Business Mailing Address Details
Address
1500 E. Medical Center Drive
City
Ann Arbor
State
Michigan
Zip
48109-5222
Phone Number
734-936-5950
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901022023 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2901022023 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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