| NPI | 1538116579 |
|---|---|
| Former Legal Business Name | ENDODONTIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GERALD C DIETZ SR. Partner Doctor 248-647-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2025-03-03 |