Provider First Line Business Practice Location Address:
2700 MARTIN LUTHER BLVD
Provider Second Line Business Practice Location Address:
UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Provider Business Practice Location Address City Name:
DETORIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-494-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/13/2006