| NPI | 1629510227 |
|---|---|
| Doing Business As | MI PERIO PC |
| Entity Type | Organization |
| Authorized Contact | BASSAM KINAIA Dds Ms 248-953-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 2901017676) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |