DR. Timothy Gerrit Demeulenaere, D.D.S.

NPI #1386736890 in Eastpointe, Michigan

Provider Information

NPI Number: 1386736890
Entity Type: Individual
Name: DR. Timothy Gerrit Demeulenaere, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 24901 KELLY RD
City: Eastpointe
State: Michigan
ZIP Code: 48021-1367
Phone: (586) 772-2090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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