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Organization
CENTRAL MICHIGAN FAMILY DENTISTRY, PLLC
Active
Organization
CENTRAL MICHIGAN FAMILY DENTISTRY, PLLC
Active
Other names
Dr. Derrek Henrie
Organization subpart
No
Provider details
NPI number
Authorized official
DERREK HENRIE DDS (DENTIST)
(989) 772-4581
Entity
Organization
Contact information
Practice address
1110 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-4437
(989) 772-4581
Mailing address
1110 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-4437
(989) 772-4581
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/25/2022
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