# DONALD WURTZEL DDS PC

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

## Provider details

- **NPI number:** 1225449689
- **Authorized official:** MRS. TERRY WURTZEL (OFFICE MANAGER)
- **Authorized official phone:** (734) 971-2675

## Contact information

- **Practice address:** 4554 WASHTENAW AVE, ANN ARBOR, MI 48108-1000
- **Practice address phone:** (734) 971-2675
- **Mailing address:** 4554 WASHTENAW AVE, ANN ARBOR, MI 48108-1000
- **Mailing address phone:** (734) 971-2675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901012866 | MI | Yes |
| 122300000X | Dentist | 2901020016 | MI | — |
| 122300000X | Dentist | 2901020455 | MI | — |

## Other

- **Enumeration date:** 05/19/2014
- **Last updated:** 05/19/2014