| NPI | 1902203227 |
|---|---|
| Doing Business As | STONERIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANTHONY R BIELKIE President 586-771-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 15810) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 19241) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |