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Organization
MAX AND MANDY DENTAL, PC
Active
Organization
MAX AND MANDY DENTAL, PC
Active
Other names
Maize and Blue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DUNCAN MCLAREN DDS (PRESIDENT)
(734) 645-6548
Entity
Organization
Contact information
Practice address
2792 PACKARD RD, YPSILANTI, MI 48197-1932
(734) 434-6170
(734) 514-4584
Mailing address
2792 PACKARD RD, YPSILANTI, MI 48197-1932
(734) 434-6170
(734) 514-4584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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