Seven Lakes Periodontics

NPI #1922086370 in Fenton, Michigan

Provider Information

NPI Number
1922086370
Entity Type
Organization
Organization Name
Seven Lakes Periodontics
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jan 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1100 TORREY RD
Address 2
SUITE 500
City
Fenton
ZIP Code
48430-3327
Phone
(810) 750-3400

Authorized Official

Name
DIEGO VELASQUEZ-PLATA, DDS, MSD
Title
PRESIDENT
Phone
(810) 750-3400

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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