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1780769570
GLEN DAVID MAYLATH
BLOOMFIELD HILLS, MI
NPI
1780769570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901014767)
Enumeration Date
2006-10-27
Last Update Date
2013-12-04
Business Address
Dr. GLEN DAVID MAYLATH D.D.S.
50 W BIG BEAVER RD STE 120
BLOOMFIELD HILLS, MI 48304-3911
Phone number: 248-642-5020
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Mailing Address
Dr. GLEN DAVID MAYLATH D.D.S.
50 W BIG BEAVER RD STE 120
BLOOMFIELD HILLS, MI 48304-3911
Phone number: 248-642-5020
Copy
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