# TENDER DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871009829
- **Authorized official:** DR. PRABHA RAJU D.D.S. (PRESIDENT/CEO)
- **Authorized official phone:** (810) 715-3368

## Contact information

- **Practice address:** 1024 N GENESEE RD, BURTON, MI 48509
- **Practice address phone:** (810) 715-3368
- **Practice address fax:** (810) 715-1663
- **Mailing address:** PO BOX 90161, BURTON, MI 48509
- **Mailing address phone:** (810) 715-3368
- **Mailing address fax:** (810) 715-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15924 | MI | Yes |

## Other

- **Enumeration date:** 12/28/2017
- **Last updated:** 12/28/2017