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A DENTAL CENTER, P C - SOUTHGA — OIG Excluded Provider (W BLOOMFIELD, MI, 1128a1)

A DENTAL CENTER, P C - SOUTHGA — OIG Excluded Provider (W BLOOMFIELD, MI, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: A DENTAL CENTER, P C - SOUTHGA; Type: Entity; Provider category: DENTAL PRACTICE.

NameA DENTAL CENTER, P C - SOUTHGA
TypeEntity
Provider categoryDENTAL PRACTICE
CityW BLOOMFIELD
StateMI
ZIP48322
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date2004-07-20
SourceHHS-OIG LEIE

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