Plev Trav Plc

NPI #1821536541 in Taylor, Michigan

Provider Information

NPI Number: 1821536541
Entity Type: Organization
Organization Name: Plev Trav Plc
Primary Specialty: Dentist
Enumeration Date: Feb 1, 2017
Last Updated: Feb 1, 2017

Practice Location

Address: 22010 EUREKA RD
City: Taylor
State: Michigan
ZIP Code: 48180-5233
Phone: (313) 766-0111

Authorized Official

Name: JASON BERTOLLINI
Title: PRM
Phone: (866) 273-8204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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