Organization
ADVANCED PERIODONTICS/IMPLANTOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA F MURPHY (OFFICE MANAGER)
(734) 459-4077
Entity
Organization
Contact information
Practice address
40400 ANN ARBOR RD E, SUITE 204A, PLYMOUTH, MI 48170-6615
(734) 459-4077
(734) 459-4084
Mailing address
40400 ANN ARBOR RD E, SUITE 204A, PLYMOUTH, MI 48170-6615
(734) 459-4077
(734) 459-4084
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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