EASTSIDE PERIODONTAL ASSOC PLLC is a periodontics dentist in Center Line, MI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. EASTSIDE PERIODONTAL ASSOC PLLC NPI is 1144312760. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
25523 VAN DYKE AVE
CENTER LINE, MI
ZIP 48015-824
Phone: (586) 757-5454
Fax: (586) 757-4147
The provider's authorized official is Jennifer Lynn Wise .
The authorized official title is Office Manager and has the following contact phone number (586) 757-5454.
The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/22/2020.