Organization
GREAT LAKES DENTAL GROUP PLLC
Active
Other names
Dental Implant Center of Royal Oak
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA DANOWSKI (OFFICE MANAGER)
(248) 547-3700
Entity
Organization
Contact information
Practice address
4251 COOLIDGE HWY, ROYAL OAK, MI 48073-1639
(248) 547-3700
Mailing address
4251 COOLIDGE HWY, ROYAL OAK, MI 48073-1639
(248) 547-3700
(248) 547-2297
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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