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Individual

MICHAEL PARDONNET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
16160 MIDDLEBELT RD, LIVONIA, MI 48154-3338
(734) 261-9696
(734) 427-6311
Mailing address
16160 MIDDLEBELT RD, LIVONIA, MI 48154-3338
(734) 261-9696
(734) 427-6311

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12544
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190129
UNITED CONCORDIA
MI
01
801815
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/22/2006
Last updated
07/08/2007
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