Individual
DR. GERALD C DIETZ JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
50 W BIG BEAVER RD, SUITE 200, BLOOMFIELD HILLS, MI 48304-3910
(248) 647-7930
(248) 647-0576
Mailing address
50 W BIG BEAVER RD, SUITE 200, BLOOMFIELD HILLS, MI 48304-3910
(248) 647-7930
(248) 647-0576
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13733
MI
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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