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Individual

DENNIS E RUPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
800 M-139, BENTON HARBOR, MI 49022
(269) 927-5400
(269) 927-1956
Mailing address
50 INDUSTRIAL PARK DR, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009786
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1991840
MI
Enumeration date
07/07/2006
Last updated
06/09/2011
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