| Tru Dental Michigan Pc | |
|
155 Rowe Ave Portland MI 48875-1645 | |
| (517) 647-6205 | |
| (517) 647-6205 |
| Full Name | Tru Dental Michigan Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 155 Rowe Ave, Portland, Michigan |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Dental Michigan Pc 155 Rowe Ave Portland MI 48875-1645 Ph: (517) 647-6205 | Tru Dental Michigan Pc 155 Rowe Ave Portland MI 48875-1645 Ph: (517) 647-6205 |
| NPI Number | 1770164980 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770164980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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