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Organization
THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC
Active
Organization
THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC
Active
Other names
Port Sanilac Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALAN SIMMONS DDS (PRESIDENT)
(810) 622-8230
Entity
Organization
Contact information
Practice address
245 S RIDGE ST, PORT SANILAC, MI 48469-9704
(810) 622-8230
Mailing address
245 S RIDGE ST, PORT SANILAC, MI 48469-9704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012153
MI
Other
Enumeration date
01/05/2006
Last updated
06/16/2008
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