Individual
DR. BACHTRAC TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2476 JOLLY ROAD, OKEMOS, MI 48864-4886
(517) 349-3266
Mailing address
2476 JOLLY RD, OKEMOS, MI 48864-3557
(517) 349-3266
(517) 347-1750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700962420
DENTAL NPI
MI
Enumeration date
10/27/2006
Last updated
01/04/2023
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