Individual
RECCA PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8339 LEWIS AVE, TEMPERANCE, MI 48182-9285
(734) 847-1955
Mailing address
8339 LEWIS AVE, TEMPERANCE, MI 48182-9285
(734) 847-1955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022045
MI
122300000X
Dentist
30.024563
OH
Other
Enumeration date
07/10/2015
Last updated
09/19/2024
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