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1558453399
MICHAEL JACK
WARREN, MI
NPI
1558453399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901018160)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JACK DDS
13403 13 MILE RD
WARREN, MI 48088
Phone number: 586-979-2800
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Mailing Address
Mr. MICHAEL JACK DDS
13403 13 MILE RD
WARREN, MI 48088
Phone number: 586-979-2800
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