Organization
CLINTON TOWNSHIP DENTAL GROUP
Active
Other names
Stoneridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ROCCO BIELKIE D.D.S. (PRESIDENT)
(586) 412-7100
Entity
Organization
Contact information
Practice address
43230 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48038
(586) 412-7100
(586) 712-7105
Mailing address
43230 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48038-1162
(586) 412-7100
(586) 412-7105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901015810
MI
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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