# ELAINE GANTZ, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1598979676
- **Authorized official:** MS. KAREN LOUISE GOERINGER A.B.A (ADMINISTRATOR)
- **Authorized official phone:** (248) 682-4971

## Contact information

- **Practice address:** 4005 HIGHLAND RD., WATERFORD, MI 48328-2134
- **Practice address phone:** (248) 682-4971
- **Practice address fax:** (248) 682-4515
- **Mailing address:** 4005 HIGHLAND RD., WATERFORD, MI 48328-2134
- **Mailing address phone:** (248) 682-4971
- **Mailing address fax:** (248) 682-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13299 | MI | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 05/07/2025
