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Organization
ACCESS DENTAL-EAST JORDAN, PC
Active
Organization
ACCESS DENTAL-EAST JORDAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI L ECKHARDT (OFFICE MANAGER)
(231) 536-3307
Entity
Organization
Contact information
Practice address
108 S LAKE ST, EAST JORDAN, MI 49727-9375
(231) 536-3307
(231) 536-3323
Mailing address
108 S LAKE ST, P.O. BOX 538, EAST JORDAN, MI 49727-9375
(231) 536-3307
(231) 536-3323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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