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Organization
LEGACY DENTAL GROUP, PC
Active
Organization
LEGACY DENTAL GROUP, PC
Active
Other names
Legacy Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C. GRABIEL DDS (OWNER/DENTIST)
(248) 644-3131
Entity
Organization
Contact information
Practice address
950 S OLD WOODWARD AVE STE 200, BIRMINGHAM, MI 48009-6719
(248) 644-9120
(248) 282-5060
Mailing address
950 S OLD WOODWARD AVE STE 200, BIRMINGHAM, MI 48009-6719
(248) 644-9120
(248) 282-5060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
012169
MI
Other
Enumeration date
03/15/2013
Last updated
04/10/2019
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