Stephen E. Gork, Dds,pc

NPI #1073992483 in Southfield, Michigan

Provider Information

NPI Number: 1073992483
Entity Type: Organization
Organization Name: Stephen E. Gork, Dds,pc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 19, 2015
Last Updated: May 19, 2015

Practice Location

Address: 26771 W 12 MILE RD
Address 2: G-115
City: Southfield
State: Michigan
ZIP Code: 48034-1539
Phone: (248) 353-7440

Authorized Official

Name: STEPHEN EDWARD GORK, DDS
Title: PRESIDENT
Phone: (248) 353-7440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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