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1033308952
EASTERN DENTAL PLC
GRAND RAPIDS, MI
NPI
1033308952
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Entity Type
Organization
Authorized Contact
KOUROSH B AMIRI
Owner/Dentist
616-724-7376
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901018678)
Enumeration Date
2007-10-16
Last Update Date
2008-06-17
Business Address
EASTERN DENTAL PLC
2426 BURTON ST SE
GRAND RAPIDS, MI 49546-4898
Phone number: 616-974-0991
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Mailing Address
EASTERN DENTAL PLC
2426 BURTON ST SE
GRAND RAPIDS, MI 49546-4898
Phone number: 616-974-0991
Copy
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