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Organization
MICHIGAN OMS P C
Active
Organization
MICHIGAN OMS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J BOURNIAS DDS (PRESIDENT)
(586) 228-9070
Entity
Organization
Contact information
Practice address
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322-4408
(248) 855-2006
(248) 855-0571
Mailing address
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322-4408
(248) 855-2006
(248) 855-0571
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MI
Other
Enumeration date
08/30/2006
Last updated
01/17/2024
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