Organization
TENDER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHA RAJU D.D.S. (PRESIDENT/CEO)
(810) 715-3368
Entity
Organization
Contact information
Practice address
1024 N GENESEE RD, BURTON, MI 48509
(810) 715-3368
(810) 715-1663
Mailing address
PO BOX 90161, BURTON, MI 48509
(810) 715-3368
(810) 715-1663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15924
MI
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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