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1104018399
MANSUR ROY
WARREN, MI
NPI
1104018399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MI 2901019480)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
-- MANSUR ROY DDS
12000 E 12 MILE RD
WARREN, MI 48093-3570
Phone number: 586-576-4140
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Mailing Address
-- MANSUR ROY DDS
12000 E 12 MILE RD
WARREN, MI 48093-3570
Phone number: 586-576-4140
Copy
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