Organization
J2DENTAL, PLLC
Active
Other names
REVIVE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TANGALOS DMD (DENTIST)
(586) 854-3814
Entity
Organization
Contact information
Practice address
51540 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4446
(586) 731-7730
Mailing address
51540 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4446
(586) 731-7730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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