Organization
DR. TIMOTHY REILLY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PHILLIP REILLY DDS (PRESIDENT)
(248) 642-4484
Entity
Organization
Contact information
Practice address
6405 TELEGRAPH RD BLDG C, BLOOMFIELD HILLS, MI 48301-1716
(248) 642-4484
(248) 885-8704
Mailing address
6405 TELEGRAPH RD BLDG C, BLOOMFIELD HILLS, MI 48301-1716
(248) 642-4484
(248) 885-8704
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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