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Organization
MID MICHIGAN DENTAL CENTER P C
Active
Organization
MID MICHIGAN DENTAL CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAZ P JAFRI DMD (PRESIDENT)
(989) 729-1999
Entity
Organization
Contact information
Practice address
1425 N M 52, OWOSSO, MI 48867-1234
(989) 729-1999
(989) 729-9949
Mailing address
1425 N M 52, OWOSSO, MI 48867-1234
(989) 729-1999
(989) 729-9949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/05/2021
Last updated
05/09/2023
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