Organization
BRADLEY J. GAUTHIER, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GAUTHIER (BUSINESS MANAGER)
(906) 399-0342
Entity
Organization
Contact information
Practice address
1000 W UNIVERSITY DR # 101, ROCHESTER, MI 48307-1873
(248) 656-0040
Mailing address
48309 MAPLEHURST DR, SHELBY TOWNSHIP, MI 48317-2788
(906) 399-0342
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021816
MI
Other
Enumeration date
11/02/2016
Last updated
09/06/2023
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