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Individual

DAVID FIREBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2811 E COURT ST, SUITE I, FLINT, MI 48506
(810) 232-2920
(810) 232-1054
Mailing address
1772 STAUCH DR, WEST BLOOMFIELD, MI 48324
(248) 360-7766

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016481
MI
122300000X
Dentist
30020255
OH
122300000X
Dentist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4347413
MI
Enumeration date
08/20/2006
Last updated
07/08/2007
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