Organization
ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD C DIETZ JR. DDS (PARTNER DOCTOR)
(248) 647-7930
Entity
Organization
Contact information
Practice address
2335 PONTIAC LAKE RD, STE. D, WATERFORD, MI 48328-2761
(248) 683-2300
Mailing address
2335 PONTIAC LAKE RD, STE. D, WATERFORD, MI 48328-2761
(248) 683-2300
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
03/03/2025
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