| Dellavecchia Dental Services, P.c. | |
|
430 130th Ave Douglas MI 49406-5100 | |
| (269) 857-1431 | |
| (269) 857-4089 |
| Full Name | Dellavecchia Dental Services, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 430 130th Ave, Douglas, Michigan |
| Authorized Official Name and Position | Tracey Jean Dellavecchia (DENTIST/OWNER) |
| Authorized Official Contact | 2698571431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dellavecchia Dental Services, P.c. 430 130th Ave Douglas MI 49406-5100 Ph: (269) 857-1431 | Dellavecchia Dental Services, P.c. 430 130th Ave Douglas MI 49406-5100 Ph: (269) 857-1431 |
| NPI Number | 1982836714 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982836714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901018649 (Michigan) | Primary |