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Organization
GREAT LAKES FAMILY DENTAL GROUP DEXTER, PC
Active
Organization
GREAT LAKES FAMILY DENTAL GROUP DEXTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J. HART (CORPORATE MANAGER)
(810) 625-2860
Entity
Organization
Contact information
Practice address
3060 BAKER RD, DEXTER, MI 48130-1140
(734) 426-4651
Mailing address
3060 BAKER RD, DEXTER, MI 48130-1140
(734) 426-4651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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