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749 N Sandusky Rd Sandusky MI 48471-9143 | |
(810) 648-3224 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 749 N Sandusky Rd, Sandusky, Michigan |
Authorized Official Name and Position | Anthony Burdua (MANAGING DOCTOR) |
Authorized Official Contact | 8106483224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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749 N Sandusky Rd Sandusky MI 48471-9143 Ph: () - | 749 N Sandusky Rd Sandusky MI 48471-9143 Ph: (810) 648-3224 |
NPI Number | 1154731669 |
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Provider Enumeration Date | 05/06/2014 |
Last Update Date | 08/13/2014 |
Identifier | Type | State | Issuer |
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1154731669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2901017882 (Michigan) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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