NPI Provider: 1780861484
Contact Name: Coggins Lynn Kelly
Position: Business Office Asst.
Phone: (810) 695-6444
Periodontal Specialists Of Grand Blanc Pc Information:
Periodontal Specialists Of Grand Blanc Pc organization have npi 1780861484, taxonomy code is 1223P0300X with license number is 16909 in . This Business address located in 8185 Holly Rd, Grand Blanc, MI 48439 Michigan.
Practice Location
Address: 8185 Holly Rd, Grand Blanc, MI 48439
Phone: (810) 695-6444
Business Location
Address: 8185 Holly Rd, Grand Blanc, MI 48439
Phone: (810) 695-6444
Taxonomy
Taxonomy Code: 1223P0300X
License Number: 16909
License Number of State: MI
Primary Taxonomy Switch: Y
Enumeration Date: 1/24/2008
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