Tlc Dental of Walled Lake, Pllc
NPI #1104925775 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1104925775
- Entity Type
- Organization
- Organization Name
- Tlc Dental of Walled Lake, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1264 S COMMERCE RD
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-3008
- Phone
- (248) 624-4774
Authorized Official
- Name
- DR. KURT HEUERMAN, DDS
- Title
- OWNER
- Phone
- (248) 624-4774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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