Legacy Periodontics And Implants | |
23895 Novi Rd Suite 200 Novi MI 48375-0201 | |
(248) 380-8020 | |
Not Available |
Full Name | Legacy Periodontics And Implants |
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Speciality | Dentist - Periodontics |
Location | 23895 Novi Rd, Novi, Michigan |
Authorized Official Name and Position | Steve L Wolf (PRESIDENT) |
Authorized Official Contact | 2483808020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Periodontics And Implants 23895 Novi Rd Suite 200 Novi MI 48375-0201 Ph: (248) 380-8020 | Legacy Periodontics And Implants 23895 Novi Rd Suite 200 Novi MI 48375-0201 Ph: (248) 380-8020 |
NPI Number | 1386867802 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 03/10/2008 |
Identifier | Type | State | Issuer |
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1386867802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | (Michigan) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Michigan) | Secondary |
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