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1245803295
ELAN OKEMOS LLC
OKEMOS, MI
NPI
1245803295
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Entity Type
Organization
Authorized Contact
SERGIO MAURICIO MOELLER
Dentist/ Owner
734-276-2541
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-07-19
Last Update Date
2021-07-19
Business Address
ELAN OKEMOS LLC
2445 WOODLAKE CIR
OKEMOS, MI 48864-5941
Phone number: 734-662-7874
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Mailing Address
ELAN OKEMOS LLC
2509 S STATE ST
ANN ARBOR, MI 48104-6145
Phone number: 734-662-7874
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