Individual
ANTHONY E DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
300 E LONG LAKE RD, STE. 290, BLOOMFIELD HILLS, MI 48304-2374
(248) 644-6136
(248) 644-9091
Mailing address
300 E LONG LAKE RD, STE. 290, BLOOMFIELD HILLS, MI 48304-2374
(248) 644-6136
(248) 644-9091
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
AD4179001
MI
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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