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Individual
VERNON E RIFE
Active
Individual
VERNON E RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901011115
MI
1223G0001X
General Practice Dentistry
Primary
2901011115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195816279
BCBS OF MI MED SURGICAL
MI
01
—
D111150
BCBS OF MI DENTAL
MI
Enumeration date
03/14/2007
Last updated
06/17/2008
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