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1164893392
REDWOOD DENTAL GROUP
CANTON, MI
NPI
1164893392
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Entity Type
Organization
Authorized Contact
MARK A BOUCHILLON
President
1586-979-2800
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2015-10-14
Last Update Date
2015-10-14
Business Address
REDWOOD DENTAL GROUP
6511 N CANTON CENTER RD
CANTON, MI 48187-1653
Phone number: 248-577-5188
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Mailing Address
REDWOOD DENTAL GROUP
255 W 13 MILE RD SUITE #100
MADISON HEIGHTS, MI 48071-1868
Phone number: 734-722-5130
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