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Organization
STEPHEN E. GORK, DDS,PC
Active
Organization
STEPHEN E. GORK, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EDWARD GORK DDS (PRESIDENT)
(248) 353-7440
Entity
Organization
Contact information
Practice address
26771 W 12 MILE RD, G-115, SOUTHFIELD, MI 48034-1539
(248) 353-7440
(248) 353-3148
Mailing address
26771 W 12 MILE RD, G-115, SOUTHFIELD, MI 48034-1539
(248) 353-7440
(248) 353-3148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12696
MI
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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