Individual
GREGORY JOHN PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
49095 SCHOENHERR, SHELBY TWP, MI 48315
(586) 726-8350
(586) 731-3965
Mailing address
49433 COMPASS PTE DRIVE, CHESTERFIELD, MI 48047
(586) 716-4945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15702
MI
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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