Organization
MARCO A TAUIL DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OXANA VARDAN (CREDENTIALING SPECIALIST)
(248) 403-9256
Entity
Organization
Contact information
Practice address
2340 S COMMERCE RD STE 1, WALLED LAKE, MI 48390-2174
(248) 624-0676
Mailing address
2340 S COMMERCE RD STE 1, WALLED LAKE, MI 48390-2174
(248) 624-0676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/05/2021
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