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Organization
TRUFORM SURGERY, PLLC
Active
Organization
TRUFORM SURGERY, PLLC
Active
Other names
TruForm Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY KY EIDSON DDS (OWNING SURGEON)
(810) 522-4001
Entity
Organization
Contact information
Practice address
6255 GRAND RIVER RD, BRIGHTON, MI 48114-5323
(810) 522-4001
Mailing address
6255 GRAND RIVER RD, BRIGHTON, MI 48114-5323
(810) 522-4001
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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