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Organization

TROND U. HEGLE DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TROND U HEGLE DDS (OWNER)
(313) 863-2800
Entity
Organization

Contact information

Practice address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
(313) 863-5054
Mailing address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
(313) 863-5054

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020365
MI

Other

Enumeration date
09/01/2011
Last updated
09/01/2011
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