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1225040173
NED JOSEPH BACON
LANSING, MI
NPI
1225040173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 11003)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. NED JOSEPH BACON dds
3911 W MICHIGAN AVE
LANSING, MI 48917-2806
Phone number: 517-323-4109
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Mailing Address
Dr. NED JOSEPH BACON dds
3911 W MICHIGAN AVE
LANSING, MI 48917-2806
Phone number: 517-323-4109
Copy
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