| Michigan Implants & Periodontics Institute, P.l.c. | |
|
2755 Carpenter Rd Suite 2ne Ann Arbor MI 48108-1186 | |
| (734) 975-1743 | |
| Not Available |
| Full Name | Michigan Implants & Periodontics Institute, P.l.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2755 Carpenter Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kelly Misch (MANAGER) |
| Authorized Official Contact | 7349751743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Implants & Periodontics Institute, P.l.c. 2755 Carpenter Rd Suite 2ne Ann Arbor MI 48108-1186 Ph: (734) 975-1743 | Michigan Implants & Periodontics Institute, P.l.c. 2755 Carpenter Rd Suite 2ne Ann Arbor MI 48108-1186 Ph: (734) 975-1743 |
| NPI Number | 1194962753 |
|---|---|
| Provider Enumeration Date | 01/19/2009 |
| Last Update Date | 01/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194962753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2901019093 (Michigan) | Primary |
| 1223P0300X | Dentist - Periodontics | 2901018946 (Michigan) | Secondary |
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