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NPI 1205773819

NPI 1205773819 : DOWNRIVER ORAL SURGERY AND IMPLANT CENTER : WYANDOTTE, MI

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General NPI Number Information
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    NPI Number           |    1205773819
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOWNRIVER ORAL SURGERY AND IMPLANT CENTER 
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Dates
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    Enumeration Date     |    05/01/2026
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    Last Update Date     |    05/01/2026
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Provider Practice Location Address
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    Address Line         |    1823 FORT ST 
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    City                 |    WYANDOTTE
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    State                |    MI
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    Zip                  |    48192-3545
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    Country              |    US
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    Telephone            |    734-285-2550
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    Fax                  |    734-285-5375
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Provider Business Mailing Address
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    Address Line         |    1823 FORT ST 
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    City                 |    WYANDOTTE
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    State                |    MI
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    Zip                  |    48192-3545
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    Country              |    US
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    Telephone            |    734-285-2550
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    Fax                  |    734-285-5375
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Authorized Official
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    Title or Position    |    ORAL & MAXILLOFACIAL SURGEON
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    Name                 |    DR. ALEJANDRO  ARANGO 
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    Credential           |    DDS
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    Telephone            |    734-285-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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