Organization
AO OF TROY PLLC
Active
Other names
My Forever Smile Troy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL KRZYZANIAK (OFFICE MGR)
(989) 792-8315
Entity
Organization
Contact information
Practice address
363 W BIG BEAVER RD STE 225, TROY, MI 48084-5242
(248) 817-5662
Mailing address
3456 SHATTUCK RD STE 3, SAGINAW, MI 48603-7013
(989) 792-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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