Total Dental Fitness

NPI 1265863021 - Dentist - 1223G0001X

NPI Details
NPI 1265863021
Enumeration Date 12/04/2013
Last Updated 12/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GLEN DAVID GLEN
Position PRESIDENT
Phone (248) 642-5020
Fax
Practice Location
50 W BIG BEAVER RD
STE 120
BLOOMFIELD HILLS MI, 48304-3910, US
Phone (248) 642-5020
Fax
Business Location
50 W BIG BEAVER RD
STE 120
BLOOMFIELD HILLS MI, 48304-3910, US
Phone (248) 642-5020
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 14767
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According to our database, Total Dental Fitness NPI is 1265863021, taxonomy code is 1223G0001X and license number is 14767, license state is located at Michigan. Total Dental Fitness physically located at 50 W Big Beaver Rd, Bloomfield Hills MI, 48304-3910. NPI Number 1033115704 has the healthcare provider type.

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1265863021 NPI number is provided on an as is basis without warranty of any kind. 1265863021 is maintained by the National Plan & Provider Enumeration System. The contents of Total Dental Fitness are for informational purposes only.