Organization
VAN DYKE DENTAL DR ELDER & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GIRARD ELDER D.D.S. (PRESIDENT)
(313) 366-8790
Entity
Organization
Contact information
Practice address
19959 VAN DYKE ST, DETROIT, MI 48234-3211
(313) 366-8790
(313) 366-8786
Mailing address
19959 VAN DYKE ST, DETROIT, MI 48234-3211
(313) 366-8790
(313) 366-8786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013050
MI
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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