Organization
YANCY A. TYGESEN, D.D.S., M.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANCY A. TYGESEN D.D.S., M.S. (PRESIDENT)
(517) 347-7777
Entity
Organization
Contact information
Practice address
2395 JOLLY RD, SUITE 130, OKEMOS, MI 48864-3662
(517) 347-7777
(517) 347-2037
Mailing address
2395 JOLLY RD, SUITE 130, OKEMOS, MI 48864-3662
(517) 347-7777
(517) 347-2037
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901016661
MI
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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