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Periodontic And Implantology Specialists PLLC

Dentist, Periodontics in Farmington Hills, MI. Organization (NPI-2).

NPI number1346828068
StatusActive
Last updated in NPPESApr 1, 2021

Details

NPI
1346828068
Entity type
Organization (NPI-2)
Legal business name
Periodontic And Implantology Specialists PLLC
Organization subpart
No
Enumeration date
Apr 1, 2021
Certification date
Mar 21, 2021
Last updated
Apr 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics––Yes
261QD0000X Clinic/Center, Dental––

Practice location

33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588

Phone 248-851-1034

Mailing address

33505 W 14 Mile Rd Ste 70
Farmington Hills, MI 48331-1588

Phone 248-851-1034

Authorized official

Karen M Franklin
Practice Administrator
2488511034

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Other Periodontics providers in Farmington Hills, MI

All 6 Periodontics providers in Farmington Hills · All 39,103 providers in Farmington Hills

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