Organization
TINGLING ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GROSS DDS MS (CEO)
(516) 241-0318
Entity
Organization
Contact information
Practice address
20400 W 12 MILE RD, SOUTHFIELD, MI 48076-5415
(248) 352-0530
Mailing address
17521 ALTA VISTA DR, SOUTHFIELD, MI 48075-1935
(917) 667-8738
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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