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Periodontic Pllc
Periodontist in Wyandotte, Michigan
NPI 1205014669

Periodontic Pllc is a Periodontist based in Dearborn, MI and is specialized in Periodontics. Periodontic Pllc practices in Wyandotte, MI. The NPI Number for Periodontic Pllc is 1205014669 and holds a License No. (Michigan).

The current practice location address for Periodontic Pllc is 3589 Fort St, Wyandotte, MI and can be reached out via phone at 734-281-1414.

Location: 3589 Fort St, Wyandotte, MI, 48124-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205014669
Provider Name
Periodontic Pllc
Credential
Provider Entity Type
Organization
Address
3589 Fort St, Wyandotte, MI, 48124-1740
Phone Number
734-281-1414
Fax Number
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3589 Fort St
City
Wyandotte
State
Michigan
Zip
48192-6315
Phone Number
734-281-1414
Fax Number
person
Provider Business Mailing Address Details
Address
3589 Fort St
City
Wyandotte
State
Michigan
Zip
48192-6315
Phone Number
734-281-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
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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