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Individual

DR. DAVID M SHABLUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
706 W RANDALL ST, COOPERSVILLE, MI 49404-1308
(616) 837-6521
(616) 837-6549
Mailing address
706 W RANDALL ST, COOPERSVILLE, MI 49404-1308
(616) 837-6521
(616) 837-6549

Taxonomy

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

Other

Enumeration date
02/01/2007
Last updated
07/08/2007
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