| Dds-tapestry | |
|
7633 E Jefferson Ave Ste 200 Detroit MI 48214-3730 | |
| (313) 833-2895 | |
| (313) 244-0661 |
| Full Name | Dds-tapestry |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7633 E Jefferson Ave, Detroit, Michigan |
| Authorized Official Name and Position | Thomas Rose (OWNER) |
| Authorized Official Contact | 2485346769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dds-tapestry 7310 Woodward Ave Ste 400 Detroit MI 48202-3165 Ph: (313) 576-2554 | Dds-tapestry 7633 E Jefferson Ave Ste 200 Detroit MI 48214-3730 Ph: (313) 833-2895 |
| NPI Number | 1629510482 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629510482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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