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Organization · General Practice Dentistry · Bloomfield Hills, MI

NPI
1114114857
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
2901014380 (MI)
Enumerated
2007-09-26
Last updated
2015-04-10
Practice location
33 Bloomfield Hills Parkway, Suite 140
Bloomfield Hills, MI 48304
(248) 647-5434

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