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1649693102
SUPREME DENTAL OF PLYMOUTH ROAD PC
DETROIT, MI
NPI
1649693102
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Entity Type
Organization
Authorized Contact
MICHELE BLOXSON
President
313-416-6806
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2014-02-03
Last Update Date
2014-02-03
Business Address
SUPREME DENTAL OF PLYMOUTH ROAD PC
20720 PLYMOUTH RD
DETROIT, MI 48228-1275
Phone number: 313-342-1997
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Mailing Address
SUPREME DENTAL OF PLYMOUTH ROAD PC
27201 RYAN RD
WARREN, MI 48092-5127
Phone number:
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