Individual
GARY M FITENY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
8080 ORTONVILLE RD, SUITE A, CLARKSTON, MI 48348-4456
(248) 620-2933
(248) 620-5055
Mailing address
5635 SASHABAW RD, SUITE A, CLARKSTON, MI 48346-3149
(248) 620-2933
(248) 620-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015504
MI
Other
Enumeration date
04/26/2006
Last updated
03/09/2016
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