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Individual

BOBBY R ECHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3225 JOHN CONLEY DR, THUMB CORRECTIONAL FACILITY, LAPEER, MI 48446-2987
(810) 667-2045
(810) 667-6732
Mailing address
22200 W 11 MILE RD UNIT 238, SOUTHFIELD, MI 48037-7009
(248) 388-8408

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12215
MI

Other

Enumeration date
10/02/2006
Last updated
10/19/2015
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