| NPI | 1578578381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E GORK Doctor/Owner 248-353-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI D1269604) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |