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Individual

MR. BRUCE EDWARD CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5055 N M 37, MESICK, MI 49668
(231) 885-1711
(231) 885-2493
Mailing address
410 W 18 RD, MESICK, MI 49668
(231) 885-3271
(231) 885-2493

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016563
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4473849
MI
Enumeration date
03/06/2007
Last updated
07/09/2007
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