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1578045548
OFFICE 4 PLLC
JACKSON, MI
NPI
1578045548
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Entity Type
Organization
Authorized Contact
RANDALL LOREN SHAW
Owner
248-931-1151
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-09-05
Last Update Date
2020-11-24
Business Address
OFFICE 4 PLLC
2555 SPRING ARBOR RD
JACKSON, MI 49203-3601
Phone number: 517-787-8321
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Mailing Address
OFFICE 4 PLLC
350 PINE RIDGE DR
BLOOMFIELD HILLS, MI 48304-2139
Phone number: 248-931-1151
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