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1225779325
SOUTHGATE ARDENT PLLC
SOUTHGATE, MI
NPI
1225779325
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Entity Type
Organization
Authorized Contact
LAURA BURKEEN
Manager
734-284-8088
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
SOUTHGATE ARDENT PLLC
13703 NORTHLINE RD
SOUTHGATE, MI 48195-1866
Phone number: 734-284-8088
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Mailing Address
SOUTHGATE ARDENT PLLC
13703 NORTHLINE RD
SOUTHGATE, MI 48195-1866
Phone number: 734-284-8088
Copy
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