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Stephen Girard Elder, D.D.S. Valid NPI

Individual provider · Dentist · Detroit, MI

NPI
1427131499
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
2901013050 (MI)
Sex
Male
Sole proprietor
No
Enumerated
2006-10-23
Last updated
2007-07-08
Practice location
19959 Van Dyke St
Detroit, MI 48234-3211
(313) 366-8790

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