Organization
EDWARD R. ESSAYAN DDS, PC (PROFESSIONAL CORPORATION)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R. ESSAYAN DDS - ORTHODONTIST (DDS - ORTHODONTIST - PRESIDENT)
(248) 851-3767
Entity
Organization
Contact information
Practice address
6161 ORCHARD LAKE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-2384
(248) 851-3767
(248) 865-9455
Mailing address
6161 ORCHARD LAKE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-2384
(248) 851-3767
(248) 865-9455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009679
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901009679
MI
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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