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Organization

EDP OF MI, PC

Active
Parent organization
EDP OF MI, PC
Other names
Penn and Searls, DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDP OF MI, PC
Authorized official
ROSEANNE BRUNENKANT (DIRECTOR OF INTEGRATIONS)
(312) 937-3619
Entity
Organization

Contact information

Practice address
1640 FORT ST, TRENTON, MI 48183-2040
(734) 675-8400
Mailing address
1640 FORT ST, TRENTON, MI 48183-2040
(734) 675-8400

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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