SAGINAW PERIODONTAL SPECIALISTPLLC NPI 1376714899

NPI Information

SAGINAW PERIODONTAL SPECIALIST,PLLC is a periodontics dentist in Saginaw, MI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SAGINAW PERIODONTAL SPECIALIST,PLLC NPI is 1376714899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4291 STATE ST
SAGINAW, MI
ZIP 48603-051
Phone: (989) 793-7241

The provider's authorized official is Buena L Dominguez .
The authorized official title is Owner and has the following contact phone number (989) 793-7241.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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