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Eastside Periodontal Assoc Pllc
Periodontist in Center Line, Michigan
NPI 1144312760

Eastside Periodontal Assoc Pllc is a Periodontist based in Center Line, MI and is specialized in Periodontics. Eastside Periodontal Assoc Pllc practices in Center Line, MI. The NPI Number for Eastside Periodontal Assoc Pllc is 1144312760 and holds a License No. B18275 (Michigan).

The current practice location address for Eastside Periodontal Assoc Pllc is 25523 Van Dyke Ave, Center Line, MI and can be reached out via phone at 586-757-5454 and via fax at 586-757-4147.

Location: 25523 Van Dyke Ave, Center Line, MI, 48015-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144312760
Provider Name
Eastside Periodontal Assoc Pllc
Credential
Provider Entity Type
Organization
Address
25523 Van Dyke Ave, Center Line, MI, 48015-1824
Phone Number
586-757-5454
Fax Number
586-757-4147
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
25523 Van Dyke Ave
City
Center Line
State
Michigan
Zip
48015-1824
Phone Number
586-757-5454
Fax Number
586-757-4147
person
Provider Business Mailing Address Details
Address
25523 Van Dyke Ave
City
Center Line
State
Michigan
Zip
48015-1824
Phone Number
586-757-5454
Fax Number
586-757-4147
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
B18275 (Michigan)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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