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1134745169
JUSTIN PARK TERRY
MUSKEGON, MI
NPI
1134745169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901600484)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
Dr. JUSTIN PARK TERRY DDS
1590 W SHERMAN BLVD
MUSKEGON, MI 49441-3543
Phone number: 231-759-0855
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Mailing Address
Dr. JUSTIN PARK TERRY DDS
285 W WESTERN AVE APT 303
MUSKEGON, MI 49440-1127
Phone number: 231-799-5665
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