Dellavecchia Dental Services, P.c. | |
430 130th Ave Douglas MI 49406-5100 | |
(269) 857-1431 | |
(269) 857-4089 |
Full Name | Dellavecchia Dental Services, P.c. |
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Speciality | Clinic/center - Dental |
Location | 430 130th Ave, Douglas, Michigan |
Authorized Official Name and Position | Tracey Jean Dellavecchia (DENTIST/OWNER) |
Authorized Official Contact | 2698571431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dellavecchia Dental Services, P.c. 430 130th Ave Douglas MI 49406-5100 Ph: (269) 857-1431 | Dellavecchia Dental Services, P.c. 430 130th Ave Douglas MI 49406-5100 Ph: (269) 857-1431 |
NPI Number | 1982836714 |
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Provider Enumeration Date | 08/12/2009 |
Last Update Date | 08/12/2009 |
Identifier | Type | State | Issuer |
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1982836714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2901018649 (Michigan) | Primary |