Organization
PONKOWSKI FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH PONKOWSKI JR. DDS (DENTIST)
(313) 820-7002
Entity
Organization
Contact information
Practice address
39521 GARFIELD RD, CLINTON TWP, MI 48038-4300
(586) 263-4100
Mailing address
416 ORCHARDALE DR, ROCHESTER HILLS, MI 48309-2246
(586) 482-0175
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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