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Organization
DENTAL INC
Active
Organization
DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL L DUNCAN DDS (OWNER)
(313) 541-3004
Entity
Organization
Contact information
Practice address
25225 W 7 MILE RD, SUITE 200, REDFORD, MI 48240
(313) 541-3004
(313) 541-3038
Mailing address
25225 W 7 MILE RD, SUITE 200, REDFORD, MI 48240
(313) 541-3004
(313) 541-3038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4210113
—
MI
01
—
D800297
BCBS OF MI
MI
Enumeration date
11/29/2006
Last updated
08/22/2020
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