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Organization

BUBBLE GUM KIDS DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY PAUNDLAY (SR. VICE PRESIDENT OF OPERATIONS)
(203) 400-9999
Entity
Organization

Contact information

Practice address
4600 E. 14MILE RD, SUITE 3/4, WARREN, MI 48092
(586) 999-9000
(586) 999-8000
Mailing address
4600 E. 14MILE RD, SUITE 3/4, WARREN, MI 48092
(586) 999-9000

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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