Organization
MICHIGAN PERIODONTICS & IMPLANTS
Active
Other names
MI PERIO PC
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM KINAIA DDS MS (DDS MS)
(248) 953-7676
Entity
Organization
Contact information
Practice address
3058 METRO PKWY, SUITE 110, STERLING HEIGHTS, MI 48310-3671
(586) 709-4210
Mailing address
3058 METRO PKWY, SUITE 110, STERLING HEIGHTS, MI 48310-3671
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901017676
MI
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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