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Organization
TRU DENTAL MICHIGAN PC
Active
Organization
TRU DENTAL MICHIGAN PC
Active
Parent organization
TRU DENTAL MICHIGAN PC
Other names
Tru Family Dental - Portland
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRU DENTAL MICHIGAN PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
155 ROWE AVE, PORTLAND, MI 48875-1645
(517) 647-6205
(517) 647-6205
Mailing address
155 ROWE AVE, PORTLAND, MI 48875-1645
(517) 647-6205
(517) 647-6205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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