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Organization
TIM WENTZLOFF DDS PC
Active
Organization
TIM WENTZLOFF DDS PC
Active
Other names
Rose Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DONALD WENTZLOFF DDS (DENTIST)
(231) 383-0382
Entity
Organization
Contact information
Practice address
876 E FRONT ST, TRAVERSE CITY, MI 49686-2704
(231) 947-6880
Mailing address
6597 DEEPWATER POINT RD, WILLIAMSBURG, MI 49690-9246
(231) 383-0382
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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