Individual
DR. GARY CLAUDE VERAGHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22100 OUTER DR, DEARBORN, MI 48124-3932
(313) 563-5855
Mailing address
22100 OUTER DR, DEARBORN, MI 48124-3932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12858
MI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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