Organization
TALLY DENTAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TALLY DDS (OWNER)
(313) 928-6684
Entity
Organization
Contact information
Practice address
5300 ALLEN RD, ALLEN PARK, MI 48101-2924
(313) 928-6684
Mailing address
5300 ALLEN RD, ALLEN PARK, MI 48101-2924
(313) 928-6684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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