Tender Dental Care Pc

NPI 1073689899 - Dentist - 1223G0001X

NPI Details
NPI 1073689899
Enumeration Date 11/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRABHA R PRABHA
Position OWNER DOCTOR
Phone (810) 715-3368
Fax (810) 715-1663
Practice Location
1024 N GENESEE
BURTON MI, 48509, US
Phone (810) 715-3368
Fax (810) 715-1663
Business Location
PO BOX 90161
1024 N GENESEE
BURTON MI, 48509, US
Phone (810) 715-3368
Fax (810) 715-1663
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 15924
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According to our database, Tender Dental Care Pc NPI is 1073689899, taxonomy code is 1223G0001X and license number is 15924, license state is located at Michigan. Tender Dental Care Pc physically located at 1024 N Genesee, Burton MI, 48509. NPI Number 1033115704 has the healthcare provider type.

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1073689899 NPI number is provided on an as is basis without warranty of any kind. 1073689899 is maintained by the National Plan & Provider Enumeration System. The contents of Tender Dental Care Pc are for informational purposes only.