Individual
DR. DIEGO VELASQUEZ-PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1100 TORREY RD, SUITE 500, FENTON, MI 48430-3327
(810) 750-3400
Mailing address
1100 TORREY RD, SUITE 500, FENTON, MI 48430-3327
(810) 750-3400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
18270
MI
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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