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1124163738
A TIMOTHY DECONINCK
WARREN, MI
NPI
1124163738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: MI 2901009162)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Mr. A TIMOTHY DECONINCK DDS
11300 E 13 MILE RD
WARREN, MI 48093
Phone number: 586-573-6860
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Mailing Address
Mr. A TIMOTHY DECONINCK DDS
11300 E 13 MILE RD
WARREN, MI 48093
Phone number: 586-573-6860
Copy
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