Periodontal Specialists Of Grand Blanc Pc | |
8185 Holly Rd Suite19 Grand Blanc MI 48439-2444 | |
(810) 695-6444 | |
Not Available |
Full Name | Periodontal Specialists Of Grand Blanc Pc |
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Speciality | Dentist - Periodontics |
Location | 8185 Holly Rd, Grand Blanc, Michigan |
Authorized Official Name and Position | Kelly Lynn Coggins (BUSINESS OFFICE ASST.) |
Authorized Official Contact | 8106956444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Periodontal Specialists Of Grand Blanc Pc 8185 Holly Rd Suite19 Grand Blanc MI 48439-2444 Ph: (810) 695-6444 | Periodontal Specialists Of Grand Blanc Pc 8185 Holly Rd Suite19 Grand Blanc MI 48439-2444 Ph: (810) 695-6444 |
NPI Number | 1780861484 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 01/24/2008 |
Identifier | Type | State | Issuer |
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1780861484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | 16909 (Michigan) | Primary |
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