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1730641804
GREAT LAKES DENTAL SERVICES PLLC
FLINT, MI
NPI
1730641804
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Entity Type
Organization
Authorized Contact
RUDOLPH DELANO WHEATON
Director
810-308-5086
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
GREAT LAKES DENTAL SERVICES PLLC
5621 LESLIE CT
FLINT, MI 48504
Phone number: 810-308-5086
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Mailing Address
GREAT LAKES DENTAL SERVICES PLLC
5621 LESLIE CT
FLINT, MI 48504
Phone number: 810-308-5086
Copy
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