Organization
ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD C. DIETZ D.D.S. (ADMINISTRATOR)
(248) 647-7930
Entity
Organization
Contact information
Practice address
18303 E 10 MILE RD, ROSEVILLE, MI 48066-4988
(586) 773-2000
Mailing address
18303 E 10 MILE RD, ROSEVILLE, MI 48066-4988
(586) 773-2000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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