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Organization

HERBERT J. ELFRING JR., D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN H ANDRESS D.D.S. (VICE PRESIDENT/DENTIST)
(248) 442-0400
Entity
Organization

Contact information

Practice address
40255 GRAND RIVER AVE STE 200, NOVI, MI 48375-2149
(248) 442-0400
Mailing address
40255 GRAND RIVER AVE STE 200, NOVI, MI 48375-2149
(248) 442-0400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14373
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053535914
DENTIST NPI
MI
01
1184747412
DENTIST NPI
MI
01
1457672669
DENTIST NPI
MI
Enumeration date
03/16/2013
Last updated
03/16/2013
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