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Professional Periodontics
Dental Clinic/Center in Warren, Michigan
NPI 1699015339

Professional Periodontics is a Dental Clinic/Center based in Warren, MI and is specialized in Dental. Professional Periodontics practices in Warren, MI. The NPI Number for Professional Periodontics is 1699015339 and holds a License No. 2901017594 (Michigan).

The current practice location address for Professional Periodontics is 30101 Hoover Rd Ste A, Warren, MI and can be reached out via phone at 586-751-0070.

Location: 30101 Hoover Rd Ste A, Warren, MI, 48093-6572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699015339
Provider Name
Professional Periodontics
Credential
Provider Entity Type
Organization
Address
30101 Hoover Rd Ste A, Warren, MI, 48093-6572
Phone Number
586-751-0070
Fax Number
Provider Enumeration Date
02/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30101 Hoover Rd Ste A
City
Warren
State
Michigan
Zip
48093-6572
Phone Number
586-751-0070
Fax Number
person
Provider Business Mailing Address Details
Address
30101 Hoover Rd Ste A
City
Warren
State
Michigan
Zip
48093-6572
Phone Number
586-751-0070
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2901017594 (Michigan)
Definition
Definition to come...
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