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Individual

MRS. KIMBERLY ANN DANTA-DAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
42550 GARFIELD RD, STE 104B, CLINTON TWP, MI 48038-1644
(586) 228-2800
Mailing address
42550 GARFIELD RD, STE 104B, CLINTON TWP, MI 48038-1644
(586) 228-2800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015949
MI

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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