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1003877952
JACK LEE MEDEMAR
FLINT, MI
NPI
1003877952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 13484)
Enumeration Date
2006-03-30
Last Update Date
2016-04-11
Business Address
Dr. JACK LEE MEDEMAR DDS PC
G 4221 CORUNNA ROAD
FLINT, MI 48532
Phone number: 810-732-8020
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Mailing Address
Dr. JACK LEE MEDEMAR DDS PC
4221 CORUNNA RD
FLINT, MI 48532-4316
Phone number: 810-732-8020
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