| NPI | 1356511950 |
|---|---|
| Other Name | ELAINE GANTZ, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | ELAINE K GANTZ Owner 248-353-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 13299) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |