Search › Michigan › 122300000X
Elizabeth Vantubergen, DDS
NPI 1477787489 · on the registry since 2009
Practice
- Address
- 21800 Pontiac Trail
Ste 100
South Lyon, MI 48178 - Phone
- (248) 437-8300
- Fax
- (248) 437-8066
- Organisation at this address
- Paul L Simon Dds Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan