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Organization
CLINTON TOWNSHIP DENTAL GROUP
Active
Organization
CLINTON TOWNSHIP DENTAL GROUP
Active
Other names
Stoneridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ROCCO BIELKIE D.D.S. (PRESIDENT)
(586) 412-7100
Entity
Organization
Contact information
Practice address
43230 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48038
(586) 412-7100
(586) 712-7105
Mailing address
43230 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48038-1162
(586) 412-7100
(586) 412-7105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901015810
MI
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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