| Aesthetic Periodontology | |
|
2251 N Squirrel Rd Suite 301 Auburn Hills MI 48326-4600 | |
| (248) 373-3377 | |
| (248) 373-3388 |
| Full Name | Aesthetic Periodontology |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2251 N Squirrel Rd, Auburn Hills, Michigan |
| Authorized Official Name and Position | Jason G Souyias (PRESIDENT) |
| Authorized Official Contact | 2483733377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Periodontology 2251 N Squirrel Rd Suite 301 Auburn Hills MI 48326-4600 Ph: (248) 373-3377 | Aesthetic Periodontology 2251 N Squirrel Rd Suite 301 Auburn Hills MI 48326-4600 Ph: (248) 373-3377 |
| NPI Number | 1871631168 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871631168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 19200 (Michigan) | Primary |
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