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1386854891
JAY VICTOR EAGAN
SOUTHFIELD, MI
NPI
1386854891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: MI 13440)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
DR. JAY VICTOR EAGAN DDS
17600 WEST 12 MILE ROAD SUITE 4
SOUTHFIELD, MI 48076
Phone number: 248-569-8770
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Mailing Address
DR. JAY VICTOR EAGAN DDS
17600 WEST 12 MILE ROAD SUITE 4
SOUTHFIELD, MI 48076
Phone number: 248-569-8770
Copy
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