NPI | 1598235582 |
---|---|
Former Legal Business Name | ENDODONTIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | GERALD C DIETZ Partner Doctor 248-647-0186 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2018-12-03 |
Last Update Date | 2025-04-03 |