Dr Stephen Gork, D.d.s., P.c.
NPI #1578578381 in Southfield, Michigan
Provider Information
- NPI Number
- 1578578381
- Entity Type
- Organization
- Organization Name
- Dr Stephen Gork, D.d.s., P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 26771 W 12 MILE RD
- Address 2
- SUITE G-115
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-1539
- Phone
- (248) 353-7440
Authorized Official
- Name
- DR. STEPHEN E GORK, D.D.S.
- Title
- DOCTOR/OWNER
- Phone
- (248) 353-7440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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