Individual
DR. THEODORE LOUIS DEGENHARDT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2877 CROOKS RD, SUITE A, TROY, MI 48084-4717
(248) 643-6551
Mailing address
2877 CROOKS RD, SUITE A, TROY, MI 48084-4717
(248) 643-6551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12268
MI
Other
Enumeration date
07/26/2006
Last updated
11/20/2023
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