NPI | 1154496818 |
---|---|
Former Legal Business Name | ENDODONTIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | GERALD C DIETZ Partner Doctor 248-647-7930 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 9345) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2025-03-03 |