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Organization
SAULT DENTAL ASSOCIATION
Active
Organization
SAULT DENTAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON C SHUNK D.D.S. (GENERAL PARTNER)
(906) 635-6020
Entity
Organization
Contact information
Practice address
709 JOHNSTON ST, SAULT SAINTE MARIE, MI 49783-2335
(906) 635-6020
(906) 635-7687
Mailing address
709 JOHNSTON ST, SAULT SAINTE MARIE, MI 49783
(906) 635-6020
(906) 635-7687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901010627
MI
1223G0001X
General Practice Dentistry
Primary
2901014320
MI
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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