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Organization
THE TRAVELING TOOTH STATION
Active
Organization
THE TRAVELING TOOTH STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE D COLBERT R.D.H. BS (OWNER)
(313) 244-3498
Entity
Organization
Contact information
Practice address
30704 HUNTSMAN DR E, FARMINGTON HILLS, MI 48331-1378
(313) 244-3498
Mailing address
30704 HUNTSMAN DR E, FARMINGTON HILLS, MI 48331-1378
(248) 788-3845
(248) 788-3073
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063615300
—
MI
Enumeration date
06/06/2007
Last updated
08/17/2015
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