| Plev Trav Plc | |
|
22010 Eureka Rd Taylor MI 48180-5233 | |
| (313) 766-0111 | |
| (734) 287-1140 |
| Full Name | Plev Trav Plc |
|---|---|
| Speciality | Dentist |
| Location | 22010 Eureka Rd, Taylor, Michigan |
| Authorized Official Name and Position | Jason Bertollini (PRM) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plev Trav Plc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Plev Trav Plc 22010 Eureka Rd Taylor MI 48180-5233 Ph: (313) 766-0111 |
| NPI Number | 1821536541 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821536541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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