Organization
ANSARI DENTAL OF TROY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WALKER (BILLER)
(248) 891-6735
Entity
Organization
Contact information
Practice address
3962 ROCHESTER RD, TROY, MI 48083-5248
(248) 891-6735
Mailing address
3962 ROCHESTER RD, TROY, MI 48083-5248
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901020901
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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