Organization
FAMILY GENTLE DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A. GDULA (OFFICE MANAGER)
(734) 676-7122
Entity
Organization
Contact information
Practice address
23000 TELEGRAPH RD, SUITE #3, BROWNSTOWN, MI 48134-9265
(734) 676-7122
Mailing address
23000 TELEGRAPH RD, SUITE #3, BROWNSTOWN, MI 48134-9265
(734) 676-7122
(734) 676-5326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11137
MI
Other
Enumeration date
08/31/2006
Last updated
06/20/2008
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