Organization
GANTZ DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE K GANTZ DDS (OWNER)
(248) 353-4010
Entity
Organization
Contact information
Practice address
25865 W 12 MILE RD, SOUTHFIELD, MI 48034-1817
(248) 353-4010
(248) 353-0829
Mailing address
25865 W 12 MILE RD, SOUTHFIELD, MI 48034-1817
(248) 353-4010
(248) 353-0829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013299
MI
Other
Enumeration date
07/08/2015
Last updated
04/12/2016
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