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Organization

SANDY L PARROTT DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDY L PARROTT D.D.S. (OWNER)
(810) 984-3700
Entity
Organization

Contact information

Practice address
1017 HURON AVE, PORT HURON, MI 48060-3770
(810) 984-3700
(810) 984-4313
Mailing address
1017 HURON AVE, PORT HURON, MI 48060-3770
(810) 984-3700
(810) 984-4313

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1957410490
BCBS MED SURG PIN#
MI
Enumeration date
12/16/2010
Last updated
12/16/2010
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