Individual
DR. CHAD BURTLESS-CREPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
770 RIVERSIDE AVE, SUITE #200, ADRIAN, MI 49221-1476
(517) 263-9609
Mailing address
1331 OAKWOOD AVE, ADRIAN, MI 49221-9691
(517) 265-6254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013725
MI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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