Individual
BRIAN K SLADICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MAPLE RIDGE DR, EAST JORDAN, MI 49727-8926
(231) 536-2601
Mailing address
101 MAPLE RIDGE DR, EAST JORDAN, MI 49727-8926
(231) 536-2601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016955
MI
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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