Traverse Dental Associates, Pllc

NPI #1336171800 in Traverse City, Michigan

Provider Information

NPI Number: 1336171800
Entity Type: Organization
Organization Name: Traverse Dental Associates, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 7, 2006
Last Updated: Mar 23, 2022

Practice Location

Address: 555 SOUTH GARFIELD AVE
City: Traverse City
State: Michigan
ZIP Code: 49686-3423
Phone: (231) 947-0210

Authorized Official

Name: CHRISTOPHER D MAZZOLA
Title: OWNER
Phone: (734) 657-1854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Durable Medical Equipment & Medical Supplies	332B00000X

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