Provider First Line Business Practice Location Address:
2041 FIFTEEN MILE RD
Provider Second Line Business Practice Location Address:
GREAT EXPRESSIONAL DENTAL CENTERS
Provider Business Practice Location Address City Name:
STERLING HEIGHTS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-268-0900
Provider Business Practice Location Address Fax Number:
586-268-0909
Provider Enumeration Date:
07/15/2008