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Individual

DR. BRUCE ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10501 ALLEN RD, STE 105, ALLEN PARK, MI 48101-1281
(313) 383-3000
(313) 383-1631
Mailing address
34380 LAKEHURST DR, FARMINGTON HILLS, MI 48331-2738
(248) 553-0690

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11117
MI

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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