SOUTHFIELD DENTAL PLLC

SOUTHFIELD, MI
NPI1104067644
Entity TypeOrganization
Authorized ContactRAYMOND A FORTSON
Member
248-569-6722
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  2901014077)
Enumeration Date2009-03-12
Last Update Date2009-03-12
Business Address
SOUTHFIELD DENTAL PLLC
17600 W 12 MILE RD SUITE 3
SOUTHFIELD, MI 48076-1910
Phone number: 248-569-6722
Mailing Address
SOUTHFIELD DENTAL PLLC
17600 W 12 MILE RD SUITE 3
SOUTHFIELD, MI 48076-1910
Phone number: 248-569-6722
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