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Organization
DENTAL CENTER OF PLYMOUTH LLC
Active
Organization
DENTAL CENTER OF PLYMOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
1913 N MICHIGAN ST STE E, PLYMOUTH, IN 46563-1015
(574) 936-4123
Mailing address
1913 N MICHIGAN ST STE E, PLYMOUTH, IN 46563-1015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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