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1912180225
DETROIT - GRAND RIVER P.C.
DETROIT, MI
NPI
1912180225
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Entity Type
Organization
Authorized Contact
MIKE COLE
Insurance Director
727-726-1611
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
DETROIT - GRAND RIVER P.C.
9685 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-4900
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Mailing Address
DETROIT - GRAND RIVER P.C.
9685 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number:
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