Organization
TENDER TOUCH DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACLYN SMITH RDH (PROGRAM DIRECTOR)
(313) 505-6665
Entity
Organization
Contact information
Practice address
19173 SANTA BARBARA DR, DETROIT, MI 48221-1624
(313) 505-6665
Mailing address
19173 SANTA BARBARA DR, DETROIT, MI 48221-1624
(313) 505-6665
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016147
MI
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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