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Organization
SDPA MANAGEMENT PLLC
Active
Organization
SDPA MANAGEMENT PLLC
Active
Other names
Rochester Hills Dental Associates, Lavender Dental Group, Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT-ROSS DAILEY (REVENUE CYCLE MANAGER)
(269) 223-7663
Entity
Organization
Contact information
Practice address
4915 JEFFERSON AVE., MIDLAND, MI 48640
(989) 631-8913
(989) 631-0521
Mailing address
7 W SQUARE LK RD, BLOOMFIELD HILLS, MI 48302
(989) 600-0993
(989) 631-0521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
11/01/2021
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