Organization
GROSSE POINTE VILLAGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GERALD OKONOWSKI D.D.S. (PRESIDENT)
(313) 886-8220
Entity
Organization
Contact information
Practice address
16842 KERCHEVAL, GROSSE POINTE, MI 48230
(313) 886-8220
Mailing address
16842 KERCHEVAL, GROSSE POINTE, MI 48230
(313) 886-8220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014768
MI
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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