Organization
DR STEPHEN GORK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E GORK D.D.S. (DOCTOR/OWNER)
(248) 353-7440
Entity
Organization
Contact information
Practice address
26771 W 12 MILE RD, SUITE G-115, SOUTHFIELD, MI 48034-1539
(248) 353-7440
(248) 353-3148
Mailing address
26771 W 12 MILE RD, SUITE G-115, SOUTHFIELD, MI 48034-1539
(248) 353-7440
(248) 353-3148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1269604
MI
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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