| Walcottdental, Plc | |
|
1910 Packard St Ste. 1 Ann Arbor MI 48104-4734 | |
| (734) 994-3700 | |
| Not Available |
| Full Name | Walcottdental, Plc |
|---|---|
| Speciality | Dentist |
| Location | 1910 Packard St, Ann Arbor, Michigan |
| Authorized Official Name and Position | Brett J Walcott (PARTNER/OWNER) |
| Authorized Official Contact | 7349943700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walcottdental, Plc 1910 Packard St Ste. 1 Ann Arbor MI 48104-4734 Ph: (734) 994-3700 | Walcottdental, Plc 1910 Packard St Ste. 1 Ann Arbor MI 48104-4734 Ph: (734) 994-3700 |
| NPI Number | 1457801169 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457801169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019587 (Michigan) | Primary |
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