Gd Mi Southfield Pllc
NPI #1699410456 in Southfield, Michigan
Provider Information
- NPI Number
- 1699410456
- Entity Type
- Organization
- Organization Name
- Gd Mi Southfield Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2022
- Last Updated
- May 4, 2022
Practice Location
- Address
- 18800 W 10 MILE RD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-2654
- Phone
- (248) 569-6304
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (248) 569-6304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
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