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Organization
WYANDOTTE FAMILY DENTAL, PLLC
Active
Organization
WYANDOTTE FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JEAN CLEEREMAN DDS (OWNER)
(734) 282-2019
Entity
Organization
Contact information
Practice address
2244 FORD AVE, WYANDOTTE, MI 48192-2316
(734) 282-2019
(734) 282-1976
Mailing address
2244 FORD AVE, WYANDOTTE, MI 48192-2316
(734) 282-2019
(734) 282-1976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2721984
—
MI
Enumeration date
09/16/2008
Last updated
09/16/2008
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