Seven Lakes Periodontics | |
1100 Torrey Rd Suite 500 Fenton MI 48430-3327 | |
(810) 750-3400 | |
Not Available |
Full Name | Seven Lakes Periodontics |
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Speciality | Dentist - Periodontics |
Location | 1100 Torrey Rd, Fenton, Michigan |
Authorized Official Name and Position | Diego Velasquez-plata (PRESIDENT) |
Authorized Official Contact | 8107503400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Seven Lakes Periodontics 1100 Torrey Rd Suite 500 Fenton MI 48430-3327 Ph: (810) 750-3400 | Seven Lakes Periodontics 1100 Torrey Rd Suite 500 Fenton MI 48430-3327 Ph: (810) 750-3400 |
NPI Number | 1922086370 |
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Provider Enumeration Date | 01/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1922086370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | 18270 (Michigan) | Primary |
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