Organization
EASTSIDE IMPLANTS & PERIODONTICS
Active
Parent organization
MICHIGAN IMPLANTS & PERIODONTICS INSTITUTE, P.L.C.
Other names
Eastside Implants & Periodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN IMPLANTS & PERIODONTICS INSTITUTE, P.L.C.
Authorized official
DR. WALEED RHEBI DDS (PERIODONTIST)
(586) 757-5454
Entity
Organization
Contact information
Practice address
25523 VAN DYKE AVE, CENTER LINE, MI 48015-1824
(586) 757-5454
(586) 757-4147
Mailing address
25523 VAN DYKE AVE, CENTER LINE, MI 48015-1824
(586) 757-5454
(586) 757-4147
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447709662
NPI
MI
Enumeration date
11/03/2022
Last updated
11/03/2022
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