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1912537481
JAVEN R DURHAM
SOUTHFIELD, MI
NPI
1912537481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901600358)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
Dr. JAVEN R DURHAM Dds
17600 W 12 MILE RD
SOUTHFIELD, MI 48076-1910
Phone number: 248-569-8770
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Mailing Address
Dr. JAVEN R DURHAM Dds
5460 PONTIAC TRL
ORCHARD LAKE, MI 48323-1564
Phone number: 954-732-8923
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