Individual
DR. CLAY CUNNINGHAM DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5877 LIVERNOIS RD, SUITE #106, TROY, MI 48098-3100
(248) 828-3636
Mailing address
3733 RAVENA AVE, ROYAL OAK, MI 48073-6439
(734) 320-9993
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901018693
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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