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Organization

TIM WENTZLOFF DDS PC

Active
Other names
Rose Street Dental
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY DONALD WENTZLOFF DDS (DENTIST)
(231) 383-0382
Entity
Organization

Contact information

Practice address
876 E FRONT ST, TRAVERSE CITY, MI 49686-2704
(231) 947-6880
Mailing address
6597 DEEPWATER POINT RD, WILLIAMSBURG, MI 49690-9246
(231) 383-0382

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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