Tally Dental Excellence | |
5300 Allen Rd Allen Park MI 48101-2924 | |
(313) 928-6684 | |
Not Available |
Full Name | Tally Dental Excellence |
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Speciality | Clinic/center - Dental |
Location | 5300 Allen Rd, Allen Park, Michigan |
Authorized Official Name and Position | Paul Tally (OWNER) |
Authorized Official Contact | 3139286684 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tally Dental Excellence 5300 Allen Rd Allen Park MI 48101-2924 Ph: (313) 928-6684 | Tally Dental Excellence 5300 Allen Rd Allen Park MI 48101-2924 Ph: (313) 928-6684 |
NPI Number | 1164038568 |
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Provider Enumeration Date | 09/21/2020 |
Last Update Date | 09/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164038568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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