Organization
ARBOR LODGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY MARIE TRULLARD DDS (OWNER)
(734) 971-1517
Entity
Organization
Contact information
Practice address
2385 S HURON PKWY, ANN ARBOR, MI 48104-5171
(734) 971-1517
Mailing address
2385 S HURON PKWY, ANN ARBOR, MI 48104-5171
(734) 971-1517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14156
MI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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