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Dr. Kristen Charlene Ponichter, DMD
Pediatric Dentist in Hazel Park, Michigan
NPI 1821304858

Kristen Charlene Ponichter is a Pediatric Dentist based in Hazel Park, MI and is specialized in Pediatric Dentistry. Kristen Charlene Ponichter practices in Hazel Park, MI and has the professional credentials of DMD. The NPI Number for Kristen Charlene Ponichter is 1821304858 and holds a License No. 2901020315 (Michigan).

The current practice location address for Kristen Charlene Ponichter is 22241 John R Rd, Hazel Park, MI and can be reached out via phone at 248-336-0356. You can also correspond with Kristen Charlene Ponichter through the mailing address at 22241 JOHN R RD, HAZEL PARK, MI - 48030-1716 (mailing address contact number: 248-336-0356).

Location: 22241 John R Rd, Hazel Park, MI, 48030-1716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821304858
Provider Name
Kristen Charlene Ponichter
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
22241 John R Rd, Hazel Park, MI, 48030-1716
Phone Number
248-336-0356
Fax Number
Provider Enumeration Date
08/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22241 John R Rd
City
Hazel Park
State
Michigan
Zip
48030-1716
Phone Number
248-336-0356
Fax Number
person
Provider Business Mailing Address Details
Address
22241 John R Rd
City
Hazel Park
State
Michigan
Zip
48030-1716
Phone Number
248-336-0356
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901020315 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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