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1053729921
SANDRA FREDERICK
SAINT CLAIR SHORES, MI
NPI
1053729921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901021335)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
SANDRA FREDERICK D.D.S
31245 HARPER AVE
SAINT CLAIR SHORES, MI 48082-1401
Phone number: 586-783-5505
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Mailing Address
SANDRA FREDERICK D.D.S
1532 W 13 MILE RD
ROYAL OAK, MI 48073-4504
Phone number: 586-873-5505
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