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Organization

SENSATIONAL DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI MARIE HUDSON DMD (OWNER/DENTIST)
(313) 863-2800
Entity
Organization

Contact information

Practice address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
(248) 247-2958
Mailing address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
(248) 247-2958

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018098
MI

Other

Enumeration date
04/16/2015
Last updated
04/16/2015
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