Organization
MICHIGAN PRIVATE DENTAL GROUP
Active
Other names
Stoneridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY R BIELKIE DDS (PRESIDENT)
(586) 771-3440
Entity
Organization
Contact information
Practice address
27731 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-1309
(586) 771-6440
(586) 771-8877
Mailing address
27731 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-1309
(586) 771-6440
(586) 771-8877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15810
MI
1223G0001X
General Practice Dentistry
19241
MI
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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