| Dr Tracey Jean Dellavecchia, DDS | |
|
430 130th Ave, Douglas, MI 49406-5100 | |
| (269) 857-1431 | |
| (269) 857-4089 |
| Full Name | Dr Tracey Jean Dellavecchia |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 430 130th Ave, Douglas, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205802303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901018649 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracey Jean Dellavecchia, DDS Po Box 109, Douglas, MI 49406-0109 Ph: (269) 857-1431 | Dr Tracey Jean Dellavecchia, DDS 430 130th Ave, Douglas, MI 49406-5100 Ph: (269) 857-1431 |
Dr. Martin George Raebel Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Wiley Road, Douglas, MI 49406 Phone: 269-857-1431 Fax: 269-857-4089 | |
Dr. Luca Tedesco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Wiley Rd, Douglas, MI 49406 Phone: 269-857-1431 |