Organization
GENTLE DENTAL JOHN R PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
28780 JOHN R RD, MADISON HEIGHTS, MI 48071-2800
(248) 547-7800
Mailing address
28780 JOHN R RD, MADISON HEIGHTS, MI 48071-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
10/19/2007
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