GRATIOT DENTAL PC

DETROIT, MI
NPI1073702478
Entity TypeOrganization
Authorized ContactWALLACE LEE WALKER
President
313-527-1140
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  12881)
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
GRATIOT DENTAL PC
12645 GRATIOT AVE
DETROIT, MI 48205-3952
Phone number: 313-527-1140
Mailing Address
GRATIOT DENTAL PC
12645 GRATIOT AVE
DETROIT, MI 48205-3952
Phone number: 313-527-1140
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