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1023195922
NORTHEAST DENTAL GROUP
SOUTHFIELD, MI
NPI
1023195922
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Entity Type
Organization
Authorized Contact
DEBRA GRACE
Office Manager
248-552-0166
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-11-01
Last Update Date
2020-08-22
Business Address
NORTHEAST DENTAL GROUP
21500 NORTHWESTERN HWY SUITE 640
SOUTHFIELD, MI 48075-5018
Phone number: 248-552-0166
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Mailing Address
NORTHEAST DENTAL GROUP
21500 NORTHWESTERN HWY SUITE 640
SOUTHFIELD, MI 48075-5018
Phone number: 248-552-0166
Copy
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