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1407887656
PROVIDENT DENTISTRY
NOVI, MI
NPI
1407887656
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Entity Type
Organization
Authorized Contact
ALAN JEFFREY KESSLER
Secretary
248-471-0345
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2006-07-05
Last Update Date
2008-07-23
Business Address
PROVIDENT DENTISTRY
40105 GRAND RIVER AVE SUITE 1
NOVI, MI 48375-2170
Phone number: 248-471-0345
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Mailing Address
PROVIDENT DENTISTRY
40105 GRAND RIVER AVE SUITE 1
NOVI, MI 48375-2170
Phone number: 248-471-0345
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