# ARBOR LODGE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013269521
- **Authorized official:** DR. TAMMY MARIE TRULLARD DDS (OWNER)
- **Authorized official phone:** (734) 971-1517

## Contact information

- **Practice address:** 2385 S HURON PKWY, ANN ARBOR, MI 48104-5171
- **Practice address phone:** (734) 971-1517
- **Mailing address:** 2385 S HURON PKWY, ANN ARBOR, MI 48104-5171
- **Mailing address phone:** (734) 971-1517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14156 | MI | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 10/08/2012