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Organization
A1 FAMILY DENTISTRY OF LICOLN PARK,PLC
Active
Organization
A1 FAMILY DENTISTRY OF LICOLN PARK,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANEEL KAURR RANDHAWA DDS (OWNER)
(586) 226-0638
Entity
Organization
Contact information
Practice address
3830 FORT ST, LINCOLN PARK, MI 48146-4107
(586) 226-0638
Mailing address
50481 KOSS DR, MACOMB, MI 48044-6320
(586) 226-0638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019199
MI
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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