Organization · Type 2 NPI
Professional Periodontics
Dental Clinic/Center · Warren, MI
NPI number
1699015339
Active
Practice location
30101 Hoover Rd Ste A
Warren, MI 48093-6572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2901017594 (MI) |
Dental Clinic/Center: Definition to come...
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About NPI 1699015339
Professional Periodontics's National Provider Identifier is 1699015339, issued on Feb 17, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Warren, MI. The record was last updated on Feb 17, 2013.