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Organization
UNIVERSITY DENTAL ASSOC., PC
Active
Organization
UNIVERSITY DENTAL ASSOC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GIBBS TYLER DDS (DENTIST)
(248) 652-9116
Entity
Organization
Contact information
Practice address
435 PINE ST, ROCHESTER, MI 48307-1933
(248) 652-9116
(248) 652-3136
Mailing address
435 PINE ST, ROCHESTER, MI 48307-1933
(248) 652-9116
(248) 652-3136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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