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Organization
FENNDENT LLC
Active
Organization
FENNDENT LLC
Active
Other names
Greater Michigan Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LEAVELL (OFFICE MANAGER)
(269) 963-7767
Entity
Organization
Contact information
Practice address
131 COLUMBIA AVE E STE 210, BATTLE CREEK, MI 49015-3761
(269) 963-7767
(269) 963-4380
Mailing address
131 COLUMBIA AVE E STE 210, BATTLE CREEK, MI 49015-3761
(269) 963-7767
(269) 963-4380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
016741
MI
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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