DEPARTMENT OF INSURANCE
Course Attendance Information
PR01423: Delta Dental Plans of Michigan, OH & IN
Experior Provider Number: S15613 
Provider Type: Company
Certification Date: 10/16/2006

Address: 10100 Linn Station Rd
Louisville, KY 40223
Contact: Ruth Devore
Telephone: 517-347-5838
Status: Active
Termination Date: N/A
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