# ENDODONTIC ASSOCIATES

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

## Provider details

- **NPI number:** 1902853021
- **Authorized official:** DR. GERALD C. DIETZ D.D.S. (ADMINISTRATOR)
- **Authorized official phone:** (248) 647-7930

## Contact information

- **Practice address:** 18303 E 10 MILE RD, ROSEVILLE, MI 48066-4988
- **Practice address phone:** (586) 773-2000
- **Mailing address:** 18303 E 10 MILE RD, ROSEVILLE, MI 48066-4988
- **Mailing address phone:** (586) 773-2000

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020