Organization
GRAND BLANC PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENSON C DUFF DDS,MS,MS (CEO)
(810) 695-6444
Entity
Organization
Contact information
Practice address
8185 HOLLY RD, SUITE 19, GRAND BLANC, MI 48439-2444
(810) 695-6444
(810) 695-4414
Mailing address
8185 HOLLY RD, SUITE 19, GRAND BLANC, MI 48439-2444
(810) 695-6444
(810) 695-4414
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
012478
MI
Other
Enumeration date
03/01/2006
Last updated
08/22/2020
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