Periodontal Specialists Of Grand Blanc Pc

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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