Organization
A1 FAMILY DENTISTRY OF MARINE CITY,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANEEL KAUR RANDHAWA DDS (OWNER)
(586) 226-0638
Entity
Organization
Contact information
Practice address
162 S WATER ST, MARINE CITY, MI 48039-1687
(810) 765-4055
Mailing address
50481 KOSS DR, MACOMB, MI 48044-6320
(586) 226-0638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019199
MI
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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