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Organization

DRS FAIR AND NIQUETTE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA ABRAMS FAIR DDS (PRESIDENT)
(231) 924-4452
Entity
Organization

Contact information

Practice address
517 N STONE RD, SUITE 102, FREMONT, MI 49412-8629
(231) 924-5542
(231) 924-5826
Mailing address
517 N STONE RD, SUITE 102, FREMONT, MI 49412-8629
(231) 924-5542
(231) 924-5826

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901014452
MI
122300000X
Dentist
Primary
2901021109
MI

Other

Enumeration date
02/03/2014
Last updated
03/03/2017
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