Northern Periodontics & Implant Dentistry, P.c.

NPI #1316299365 in Petoskey, Michigan

Provider Information

NPI Number
1316299365
Entity Type
Organization
Organization Name
Northern Periodontics & Implant Dentistry, P.c.
Primary Specialty
Dentist - Periodontics
Enumeration Date
Oct 15, 2012
Last Updated
Oct 15, 2012

Practice Location

Address
2115 M 119
ZIP Code
49770-8914
Phone
(231) 347-2518

Authorized Official

Name
DR. VAUGHN A MCGRAW, D.D.S., M.S.
Title
PRESIDENT
Phone
(231) 347-2518

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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