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Organization
TROY JOHN R DENTAL PRACTICE ENTITY PC
Active
Organization
TROY JOHN R DENTAL PRACTICE ENTITY PC
Active
Other names
Troy John R Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RITA DELLY (CEO)
(248) 697-6870
Entity
Organization
Contact information
Practice address
4101 JOHN R RD STE 100, TROY, MI 48085-3647
(248) 680-0775
Mailing address
4101 JOHN R RD STE 100, TROY, MI 48085-3647
(248) 680-0775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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