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Organization
BEULAH FAMILY DENTISTRY , PLLC
Active
Organization
BEULAH FAMILY DENTISTRY , PLLC
Active
Other names
North Pine Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA SHAW BRUDI DDS (DENTIST OWNER)
(248) 974-8978
Entity
Organization
Contact information
Practice address
589 BEULAH HWY, BEULAH, MI 49617-8708
(248) 974-8978
Mailing address
3986 HEATHERWOOD DR E, TRAVERSE CITY, MI 49684-8615
(248) 974-8978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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