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1508889924
THEODORE LOUIS DEGENHARDT
TROY, MI
NPI
1508889924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 12268)
Enumeration Date
2006-07-26
Last Update Date
2023-11-20
Business Address
Dr. THEODORE LOUIS DEGENHARDT DDS
2877 CROOKS RD SUITE A
TROY, MI 48084-4717
Phone number: 248-643-6551
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Mailing Address
Dr. THEODORE LOUIS DEGENHARDT DDS
2877 CROOKS RD SUITE A
TROY, MI 48084-4717
Phone number: 248-643-6551
Copy
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