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General NPI Number Information
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NPI Number | 1669780607
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Entity Type | Organization
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Legal Business Name | METROPOLITAN DENTAL CENTER OF TAYLOR
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 22350 WICK RD
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City | TAYLOR
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State | MI
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Zip | 48180-3607
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Country | US
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Telephone | 313-291-2600
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Fax | 313-291-0731
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Provider Business Mailing Address
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Address Line | PO BOX 1325
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City | TAYLOR
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State | MI
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Zip | 48180-5725
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Country | US
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Telephone | 313-291-2600
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Fax | 313-291-0731
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Authorized Official
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Title or Position | OWNER
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Name | DR. JERRY A ARONOFF
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Credential | DDS
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Telephone | 313-291-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8969
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License Number State | MI
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