Tally Dental Excellence
Clinic/Center, Dental in Allen Park, MI. Organization (NPI-2).
NPI number1164038568
StatusActive
Last updated in NPPESSep 21, 2020
Details
- NPI
- 1164038568
- Entity type
- Organization (NPI-2)
- Legal business name
- Tally Dental Excellence
- Organization subpart
- No
- Enumeration date
- Sep 21, 2020
- Certification date
- Sep 21, 2020
- Last updated
- Sep 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
5300 Allen RdAllen Park, MI 48101-2924
Phone 313-928-6684
Mailing address
5300 Allen RdAllen Park, MI 48101-2924
Phone 313-928-6684
Authorized official
Paul Tally
Owner
3139286684
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Other Dental Clinic/Center providers in Allen Park, MI
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All 5 Dental Clinic/Center providers in Allen Park · All 566 providers in Allen Park
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