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Individual

DR. ROBERT ELDRIDGE MARRIOTT II

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
45555 HEYDENREICH RD, SUITE 101, MACOMB, MI 48044-6600
(586) 416-1460
(586) 416-1463
Mailing address
45555 HEYDENREICH RD, SUITE 101, MACOMB, MI 48044-6600
(586) 416-1460
(586) 416-1463

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011231
MI

Other

Enumeration date
12/23/2005
Last updated
07/08/2007
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