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Organization
ADIRAM FAMILY DENTISTRY
Active
Organization
ADIRAM FAMILY DENTISTRY
Active
Other names
Riverside Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAKRISHNA NALLAPANENI DDS (OWNER)
(586) 468-0983
Entity
Organization
Contact information
Practice address
253 S GRATIOT AVE, MOUNT CLEMENS, MI 48043-2425
(586) 468-0983
(586) 468-9661
Mailing address
253 S GRATIOT AVE, MOUNT CLEMENS, MI 48043-2425
(586) 468-0983
(586) 468-9661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
09/29/2016
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