Organization
FASTBRACES OF TROY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A THOMPSON (OFFICE MANAGER)
(248) 817-5662
Entity
Organization
Contact information
Practice address
363 W BIG BEAVER RD, STE. 225, TROY, MI 48084-5220
(248) 817-5662
(248) 817-5664
Mailing address
363 W BIG BEAVER RD, STE. 225, TROY, MI 48084-5220
(248) 817-5662
(248) 817-5664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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