| Tally Dental Excellence | |
|
5300 Allen Rd Allen Park MI 48101-2924 | |
| (313) 928-6684 | |
| Not Available |
| Full Name | Tally Dental Excellence |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5300 Allen Rd, Allen Park, Michigan |
| Authorized Official Name and Position | Paul Tally (OWNER) |
| Authorized Official Contact | 3139286684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tally Dental Excellence 5300 Allen Rd Allen Park MI 48101-2924 Ph: (313) 928-6684 | Tally Dental Excellence 5300 Allen Rd Allen Park MI 48101-2924 Ph: (313) 928-6684 |
| NPI Number | 1164038568 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164038568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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