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Organization
YAX & STEC DENTAL ASSOCIATES, PLLC
Active
Organization
YAX & STEC DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ANN VENTURA MANAGER (OFFICE MANAGER)
(586) 749-3333
Entity
Organization
Contact information
Practice address
58144 GRATIOT AVE, SUITE 316, NEW HAVEN, MI 48048
(586) 749-3333
Mailing address
58144 GRATIOT AVE STE 316, P.O. BOX 480336, NEW HAVEN, MI 48048
(586) 749-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011882
MI
Other
Enumeration date
09/24/2007
Last updated
11/15/2011
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