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General NPI Number Information
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NPI Number | 1912798372
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Entity Type | Organization
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Legal Business Name | ALSAIDI PERIO CENTER, PLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 6010 W MAPLE RD STE 210
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4406
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Country | US
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Telephone | 248-487-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 W MAPLE RD STE 210
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4406
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Country | US
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Telephone | 248-487-9990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABDEL-GHANY ALSAIDI
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Credential | DDS, MS
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Telephone | 248-885-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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