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Organization
MAIN STREET FAMILY DENTAL
Active
Organization
MAIN STREET FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY JADE EUBANKS DDS (DENTIST)
(989) 624-4641
Entity
Organization
Contact information
Practice address
8155 MAIN ST, BIRCH RUN, MI 48415-7724
(989) 624-4641
Mailing address
8155 MAIN ST, BIRCH RUN, MI 48415-7724
(989) 624-4641
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901021550
—
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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