Organization
JOSEPH C TUAZON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TUAZON DDS (DENTIST)
(248) 680-1680
Entity
Organization
Contact information
Practice address
39242 DEQUINDRE RD STE 107, STERLING HEIGHTS, MI 48310-1767
(248) 680-1680
Mailing address
39242 DEQUINDRE RD STE 107, STERLING HEIGHTS, MI 48310-1767
(248) 680-1680
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4162123
—
MI
Enumeration date
02/14/2019
Last updated
02/14/2019
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