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Individual
ANNE B BIBIK
Active
Individual
ANNE B BIBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901015511
MI
1223G0001X
General Practice Dentistry
Primary
2901015511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4123994
—
MI
01
—
D155110
BCBS OF MI DENTAL
MI
Enumeration date
03/15/2007
Last updated
05/21/2014
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