Provider First Line Business Practice Location Address:
2425 EAST TWELVE MILE RD
Provider Second Line Business Practice Location Address:
GREAT EXPRESSIONS DENTAL CENTERS
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48092
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-573-7334
Provider Business Practice Location Address Fax Number:
586-573-4853
Provider Enumeration Date:
01/08/2008