Tough Teeth & Great Gums
NPI #1104073410 in Comstock Park, Michigan
Provider Information
- NPI Number
- 1104073410
- Entity Type
- Organization
- Organization Name
- Tough Teeth & Great Gums
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 1866 10 MILE RD NE
- City
- Comstock Park
- State
- Michigan
- ZIP Code
- 49321-9669
- Phone
- (616) 460-6369
Authorized Official
- Name
- AMY ELIZABETH BROEKSTRA, RDH
- Title
- DIRECTOR
- Phone
- (616) 460-6369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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