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Organization

RODNEY L FEASTER DDS PC

Active
Other names
Family Dental Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
RODNEY LEE FEASTER DDS (PRESIDENT)
(810) 235-5422
Entity
Organization

Contact information

Practice address
G4007 W COURT ST, SUITE A, FLINT, MI 48532-3560
(810) 235-5422
(810) 232-7473
Mailing address
G4007 W COURT ST, SUITE A, FLINT, MI 48532-3560
(810) 235-5422
(810) 232-7473

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14072
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1658670
MI
Enumeration date
09/28/2006
Last updated
04/08/2008
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