Organization
A CAPPELLA DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. SALON D.D.S. (OWNER/CEO/DENTIST)
(231) 943-2900
Entity
Organization
Contact information
Practice address
1061 E FRONT ST, TRAVERSE CITY, MI 49686-2707
(231) 943-2900
Mailing address
1061 E FRONT ST, TRAVERSE CITY, MI 49686-2707
(231) 943-2900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016153
MI
Other
Enumeration date
10/10/2014
Last updated
03/18/2015
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