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Individual

DR. GARY S ROCHLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
30825 RYAN RD, WARREN, MI 48092-1903
(586) 751-2900
(586) 751-5224
Mailing address
30825 RYAN RD, WARREN, MI 48092-1903
(586) 751-2900
(586) 751-5224

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9783
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4017310
MI
Enumeration date
03/12/2007
Last updated
07/08/2007
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