Derentz, Mona
Derentz, Mona is an individual health care provider with primary practice located at 31370 Telegraph Rd , Bingham Farms MI 48025-4356. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Derentz, Mona can be contacted via phone (805) 630-4541.Contact Information
Primary practice address
31370 Telegraph Rd
Bingham Farms MI 48025-4356
Phone: (805) 630-4541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 100011 | California |
Profile Details
| NPI number | 1609393438 |
|---|---|
| LBN Legal business name | Derentz, Mona |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2017 |
| Last updated | Aug 23rd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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