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1114022795
THEODORE MARK HEALY
LINCOLN PARK, MI
NPI
1114022795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 9353)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Dr. THEODORE MARK HEALY DDS
1359 CHAMPAIGN
LINCOLN PARK, MI 48146-3303
Phone number: 313-386-9660
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Mailing Address
Dr. THEODORE MARK HEALY DDS
37956 RHONSWOOD
NORTHVILLE, MI 48167-9752
Phone number: 248-474-0937
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