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Organization

DENTAL CENTER OF PLYMOUTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization

Contact information

Practice address
1913 N MICHIGAN ST STE E, PLYMOUTH, IN 46563-1015
(574) 936-4123
Mailing address
1913 N MICHIGAN ST STE E, PLYMOUTH, IN 46563-1015

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN

Other

Enumeration date
08/24/2015
Last updated
08/24/2015
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