# ENDODONTIC ASSOCIATES OF MICHIGAN PLLC

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

## Provider details

- **NPI number:** 1811124654
- **Authorized official:** DR. GERALD C DIETZ JR. DDS (PARTNER DOCTOR)
- **Authorized official phone:** (248) 647-7930

## Contact information

- **Practice address:** 2900 UNION LAKE RD, STE 218, COMMERCE, MI 48382
- **Practice address phone:** (248) 363-9345
- **Practice address fax:** (248) 363-9346
- **Mailing address:** 2900 UNION LAKE RD, STE 218, COMMERCE, MI 48382
- **Mailing address phone:** (248) 363-9345
- **Mailing address fax:** (248) 363-9346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 10551 | MH | Yes |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 04/03/2025
