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1497180798
ODICARE PC
DETROIT, MI
NPI
1497180798
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Entity Type
Organization
Authorized Contact
JEREL N OWENS
Responsible Party
313-341-3684
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901011444)
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
ODICARE PC
15510 LIVERNOIS AVE
DETROIT, MI 48238-1343
Phone number: 313-863-3800
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Mailing Address
ODICARE PC
27201 RYAN RD
WARREN, MI 48092-5127
Phone number: 586-558-8004
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