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1811403959
EDP OF MI, PC
GRAND RAPIDS, MI
NPI
1811403959
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Entity Type
Organization
Authorized Contact
ROSEANNE BRUNENKANT
Director Of Integrations
312-937-3619
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-12-27
Last Update Date
2019-09-16
Business Address
EDP OF MI, PC
1500 44TH ST SE
GRAND RAPIDS, MI 49508-4651
Phone number: 616-532-9070
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Mailing Address
EDP OF MI, PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-937-3619
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