Organization
ULLA CROUSE PLC
Active
Other names
Brighton Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ULLA CROUSE DDS, PHD (OWNER)
(810) 229-8200
Entity
Organization
Contact information
Practice address
8641 W GRAND RIVER AVE STE 9, BRIGHTON, MI 48116-4330
(810) 229-8200
(810) 220-5021
Mailing address
8641 W GRAND RIVER AVE STE 9, BRIGHTON, MI 48116-4330
(810) 229-8200
(810) 220-5021
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D019249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043326267
NPI
MI
01
—
1972897858
NPI
MI
Enumeration date
10/01/2012
Last updated
10/01/2012
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