Individual provider · Type 1 NPI

Mona Derentz, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Bingham Farms, MI

NPI number 1609393438 Active

Practice location

31370 Telegraph Rd
Bingham Farms, MI 48025-4356

Mailing address

18 Autumn Leaf Dr
Thousand Oaks, CA 91360-2607

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X100011 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1609393438

Mona Derentz, DDS's National Provider Identifier is 1609393438, issued on Aug 23, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bingham Farms, MI. The record was last updated on Aug 23, 2017.