Individual
DR. BENJAMIN THOMAS GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
51333 MOUND RD, SHELBY TWP, MI 48316-4344
(586) 799-4240
Mailing address
3503 LINWOOD AVE, ROYAL OAK, MI 48073-2353
(616) 490-2498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022249
MI
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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