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Organization
A1 FAMILY DENTISTRY OF WATERFORD,PLC
Active
Organization
A1 FAMILY DENTISTRY OF WATERFORD,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANEEL KAUR RANDHAWA DDS (OWNER)
(586) 226-0638
Entity
Organization
Contact information
Practice address
2759 ELIZABETH LAKE RD, WATERFORD, MI 48328-3291
(586) 226-0638
Mailing address
50481 KOSS DR, MACOMB, MI 48044-6320
(586) 226-0638
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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