Individual
DR. ELAINE K GANTZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4005 HIGHLAND RD, WATERFORD, MI 48328-2134
(248) 682-4971
Mailing address
4005 HIGHLAND RD, WATERFORD, MI 48328-2134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13299
MI
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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