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Organization
YOUR FAMILY DENTIST PC
Active
Organization
YOUR FAMILY DENTIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA GENE CARSON D.D.S. (OWNER)
(248) 423-9000
Entity
Organization
Contact information
Practice address
28245 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2863
(248) 423-9000
(248) 423-9020
Mailing address
28245 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2863
(248) 423-9000
(248) 423-9020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015644
MI
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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