Tru Dental Michigan PC
NPI #1104408020 in Temperance, Michigan
Provider Information
- NPI Number
- 1104408020
- Entity Type
- Organization
- Organization Name
- Tru Dental Michigan PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TRU DENTAL MICHIGAN PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 21, 2021
- Last Updated
- Apr 21, 2021
Practice Location
- Address
- 7960 LEWIS AVE
- City
- Temperance
- State
- Michigan
- ZIP Code
- 48182-9580
- Phone
- (734) 847-9905
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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