Eastside Implants and Periodontics
NPI #1932946464 in Center Line, Michigan
Provider Information
- NPI Number
- 1932946464
- Entity Type
- Organization
- Organization Name
- Eastside Implants and Periodontics
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 11, 2024
- Last Updated
- Jul 11, 2024
Practice Location
- Address
- 25523 VAN DYKE AVENUE
- City
- Center Line
- State
- Michigan
- ZIP Code
- 48015
- Phone
- (586) 757-5454
Authorized Official
- Name
- KELLY MISCH, D.D.S., M.S.
- Title
- OWNER/PERIODONTIST
- Phone
- (734) 975-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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Organizations
| Provider Name | |
|---|---|
| Eastside Periodontal Assoc Pllc | AI Deep Dive |
| Eastside Implants & Periodontics Part of Michigan Implants & Periodontics Institute, P.l.c. | AI Deep Dive |
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