# COMFORT DDS PC

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

## Provider details

- **NPI number:** 1588862569
- **Authorized official:** DR. GARY K JOH DDS (OWNER)
- **Authorized official phone:** (586) 286-4848

## Contact information

- **Practice address:** 15980 19 MILE RD, CLINTON TWP, MI 48038-1101
- **Practice address phone:** (586) 286-4848
- **Practice address fax:** (586) 286-2520
- **Mailing address:** 15980 19 MILE RD, CLINTON TWP, MI 48038-1101
- **Mailing address phone:** (586) 286-4848
- **Mailing address fax:** (586) 286-2520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15041 | MI | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/16/2007