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1811482565
ELAN LAKE LANSING
EAST LANSING, MI
NPI
1811482565
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Entity Type
Organization
Authorized Contact
MAURICIO MOELLER
Mbr
734-276-2541
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: MI 18235)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
ELAN LAKE LANSING
818 W LAKE LANSING RD
EAST LANSING, MI 48823-1308
Phone number: 517-333-9500
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Mailing Address
ELAN LAKE LANSING
818 W LAKE LANSING RD
EAST LANSING, MI 48823-1308
Phone number: 517-333-9500
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