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1619316569
PREVENTATIVE DENTAL PC
DETROIT, MI
NPI
1619316569
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Entity Type
Organization
Authorized Contact
PAMELA L HYDE
Office Manager
313-863-2800
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
PREVENTATIVE DENTAL PC
15510 LIVERNOIS AVE
DETROIT, MI 48238-1343
Phone number: 313-863-2800
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Mailing Address
PREVENTATIVE DENTAL PC
PO BOX 38367
DETROIT, MI 48238-0367
Phone number: 313-863-2800
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