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Individual

DR. LEO VASSEROT MERLE VI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
126 E MAIN ST, MANCHESTER, MI 48158-8748
(734) 428-8323
Mailing address
320 DEPOT ST APT B, ANN ARBOR, MI 48104-1047
(916) 642-5984

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
110885
CA
1223G0001X
General Practice Dentistry
Primary
2901602420
MI

Other

Enumeration date
10/28/2024
Last updated
11/08/2024
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