Organization
BLOOMFIELD ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Other names
Bloomfield Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY FORGACH DDS (OWNER)
(248) 877-1126
Entity
Organization
Contact information
Practice address
33 BLOOMFIELD HILLS PKWY STE 100, BLOOMFIELD HILLS, MI 48304-2945
(248) 877-1126
Mailing address
33 BLOOMFIELD HILLS PKWY STE 100, BLOOMFIELD HILLS, MI 48304-2945
(248) 341-8477
(248) 341-8479
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
03/12/2024
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