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1083016711
SPECIAL DENTAL PC
WARREN, MI
NPI
1083016711
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Entity Type
Organization
Authorized Contact
TINA WILDER
Reg Manager
313-342-1997
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901012438)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
SPECIAL DENTAL PC
27201 RYAN RD
WARREN, MI 48092
Phone number: 586-558-8004
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Mailing Address
SPECIAL DENTAL PC
27201 RYAN RD
WARREN, MI 48092-5127
Phone number: 586-558-8004
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