Provider First Line Business Practice Location Address:
18900 MICHIGAN AVE
Provider Second Line Business Practice Location Address:
SEARS DENTAL
Provider Business Practice Location Address City Name:
DEARBORN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48126-3929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-441-9226
Provider Business Practice Location Address Fax Number:
313-441-9586
Provider Enumeration Date:
11/13/2006