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Organization
TRILLIUM DENTAL PC
Active
Organization
TRILLIUM DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES VUILLEMOT D.D.S. (OWNER)
(517) 485-3444
Entity
Organization
Contact information
Practice address
2524 LAKE LANSING RD, LANSING, MI 48912-3620
(517) 485-3444
(517) 485-3763
Mailing address
2524 LAKE LANSING RD, LANSING, MI 48912-3620
(517) 485-3444
(517) 485-3763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14161, 14147
MI
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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