| Eric W. Brust Dds Pc | |
|
10460 Pelham Rd Taylor MI 48180-3828 | |
| (313) 299-9700 | |
| (313) 299-9951 |
| Full Name | Eric W. Brust Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10460 Pelham Rd, Taylor, Michigan |
| Authorized Official Name and Position | Eric W Brust (OWNER) |
| Authorized Official Contact | 3132999700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric W. Brust Dds Pc 10460 Pelham Rd Taylor MI 48180-3828 Ph: (313) 299-9700 | Eric W. Brust Dds Pc 10460 Pelham Rd Taylor MI 48180-3828 Ph: (313) 299-9700 |
| NPI Number | 1174695522 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174695522 | NPI | - | NPPES |
| 123042560 | Other | MI | CSHCS |
| 193998 | Other | MI | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15547 (Michigan) | Primary |
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