Provider First Line Business Practice Location Address:
1500 UNIVERSITY DR
Provider Second Line Business Practice Location Address:
DENTAL DEPARTMENT
Provider Business Practice Location Address City Name:
AUBURN HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48326-2642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-276-6664
Provider Business Practice Location Address Fax Number:
248-276-2521
Provider Enumeration Date:
04/10/2008