Organization
THE GENTLE DENTIST
Active
Other names
The Gentle Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT V ANTOLAK DDS (DENTIST)
(586) 247-3500
Entity
Organization
Contact information
Practice address
15055 22 MILE RD STE 2, SHELBY TOWNSHIP, MI 48315-4401
(586) 247-3500
Mailing address
15055 22 MILE RD STE 2, SHELBY TOWNSHIP, MI 48315-4401
(586) 247-3500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
08/10/2020
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