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Individual

DR. ADITI BAGCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
17043 RIDGE RD, NORTHVILLE, MI 48168-9555
(248) 854-9617
Mailing address
17043 RIDGE RD, NORTHVILLE, MI 48168-9555
(248) 854-9617

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018826
MI

Other

Enumeration date
11/21/2006
Last updated
07/25/2012
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