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Organization

ERIC W. BRUST DDS PC

Active
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Organization

ERIC W. BRUST DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC W BRUST DDS MS (PRESIDENT)
(313) 299-9700
Entity
Organization

Contact information

Practice address
2355 W STADIUM BLVD, ANN ARBOR, MI 48103-3852
(734) 662-7200
(734) 662-7220
Mailing address
2355 W STADIUM BLVD, ANN ARBOR, MI 48103-3852
(734) 662-7200
(734) 662-7220

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15547
MI

Other

Enumeration date
10/05/2011
Last updated
10/22/2014
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