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Organization
A1 FAMILY DENTISTRY OF MARINE CITY,PLC
Active
Organization
A1 FAMILY DENTISTRY OF MARINE CITY,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
162 S WATER ST, MARINE CITY, MI 48039-1687
(810) 765-4055
Mailing address
50481 KOSS DR, MACOMB, MI 48044-6320
(586) 226-0638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019199
MI
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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