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ENDODONTIC ASSOCIATES

Dental Providers Dentist Endodontics

Provider NPI: 1265507164

Organization Information:
Organization Name:  ENDODONTIC ASSOCIATES
Authorized Official:  GERALD C DIETZ  DIRECTOR  248-647-7930

Practice Location:
43114 DEQUINDRE  STERLING HEIGHTS, MI 48314 US
Tel: 586-254-1110  Fax: 586-254-1169

Business Mailing Address:
43114 DEQUINDRE  STERLING HEIGHTS, MI 48314 US
Tel: 586-254-1110  Fax: 586-254-1169

NPI Information:
NPI: 1265507164
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223E0200XDental Providers
Dentist
Endodontics
MI13733

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1223E0200X

Type:

Classification:



Definition:



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