Individual
DR. SCOTT B TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31549 HARPER AVE, ST CLAIR SHORES, MI 48082
(586) 293-1530
(586) 293-1537
Mailing address
31549 HARPER AVE, ST CLAIR SHORES, MI 48082
(586) 293-1530
(586) 293-1537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015365
MI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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