# VAN DYKE DENTAL DR ELDER & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578001780
- **Authorized official:** DR. STEPHEN GIRARD ELDER D.D.S. (PRESIDENT)
- **Authorized official phone:** (313) 366-8790

## Contact information

- **Practice address:** 19959 VAN DYKE ST, DETROIT, MI 48234-3211
- **Practice address phone:** (313) 366-8790
- **Practice address fax:** (313) 366-8786
- **Mailing address:** 19959 VAN DYKE ST, DETROIT, MI 48234-3211
- **Mailing address phone:** (313) 366-8790
- **Mailing address fax:** (313) 366-8786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901013050 | MI | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017