Dellavecchia Dental Services, P.c.

NPI #1982836714 in Douglas, Michigan

Provider Information

NPI Number
1982836714
Entity Type
Organization
Organization Name
Dellavecchia Dental Services, P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 12, 2009
Last Updated
Aug 12, 2009

Practice Location

Address
430 130TH AVE
ZIP Code
49406-5100
Phone
(269) 857-1431

Authorized Official

Name
DR. TRACEY JEAN DELLAVECCHIA, D.D.S.
Title
DENTIST/OWNER
Phone
(269) 857-1431

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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