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Individual

MATT DEMERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
29425 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
Mailing address
29425 RYAN RD, WARREN, MI 48092-2203

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901600835
MI

Other

Enumeration date
02/09/2017
Last updated
08/22/2023
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