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Organization
D2 DENTAL OF MICHIGAN
Active
Organization
D2 DENTAL OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LABINOV (AGENT)
(708) 386-4800
Entity
Organization
Contact information
Practice address
5601 S CEDAR ST, LANSING, MI 48911-3810
(708) 386-4800
Mailing address
137 N OAK PARK AVE, SUITE 302A, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
11/15/2013
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