Organization
WALCOTTDENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT J WALCOTT D.D.S (PARTNER/OWNER)
(734) 994-3700
Entity
Organization
Contact information
Practice address
1910 PACKARD ST, STE. 1, ANN ARBOR, MI 48104-4734
(734) 994-3700
Mailing address
1910 PACKARD ST, STE. 1, ANN ARBOR, MI 48104-4734
(734) 994-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019587
MI
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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