Organization
DETROIT DENTAL SPECIALIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE STEC DDS (PRESIDENT)
(313) 863-2800
Entity
Organization
Contact information
Practice address
15510 LIVERNOIS, DETROIT, MI 48238
(313) 863-2800
Mailing address
PO BOX 38367, DETROIT, MI 48238
(313) 863-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018887
MI
Other
Enumeration date
01/31/2011
Last updated
05/17/2011
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