Organization
ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD C DIETZ SR. D.D.S. (DIRECTOR)
(248) 647-7930
Entity
Organization
Contact information
Practice address
43114 DEQUINDRE, STERLING HEIGHTS, MI 48314
(586) 254-1110
(586) 254-1169
Mailing address
43114 DEQUINDRE, STERLING HEIGHTS, MI 48314
(586) 254-1110
(586) 254-1169
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13733
MI
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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