| Commerce Periodontology, Pllc | |
|
2600 Union Lake Rd Suite 130 Commerce Township MI 48382-3588 | |
| (248) 242-6277 | |
| Not Available |
| Full Name | Commerce Periodontology, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2600 Union Lake Rd, Commerce Township, Michigan |
| Authorized Official Name and Position | Jason Souyias (MEMBER) |
| Authorized Official Contact | 2482426277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commerce Periodontology, Pllc 2600 Union Lake Rd Suite 130 Commerce Township MI 48382-3588 Ph: (248) 242-6277 | Commerce Periodontology, Pllc 2600 Union Lake Rd Suite 130 Commerce Township MI 48382-3588 Ph: (248) 242-6277 |
| NPI Number | 1578889515 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 04/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578889515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2901019200 (Michigan) | Primary |
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