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1437297959
AMERICAN DENTAL GROUP-GEORGIA LLC
BLOOMFIELD HILLS, MI
NPI
1437297959
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Entity Type
Organization
Authorized Contact
DONNA MARIE RIVARD
Credentialing
248-203-1119
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-02-05
Last Update Date
2020-08-22
Business Address
AMERICAN DENTAL GROUP-GEORGIA LLC
300 E LONG LAKE RD STE 311
BLOOMFIELD HILLS, MI 48304-2374
Phone number: 248-203-1100
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Mailing Address
AMERICAN DENTAL GROUP-GEORGIA LLC
300 E LONG LAKE RD STE 311
BLOOMFIELD HILLS, MI 48304-2374
Phone number: 248-203-1100
Copy
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