| The Gentle Dentist | |
|
15055 22 Mile Rd Ste 2 Shelby Township MI 48315-4401 | |
| (586) 247-3500 | |
| Not Available |
| Full Name | The Gentle Dentist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15055 22 Mile Rd Ste 2, Shelby Township, Michigan |
| Authorized Official Name and Position | Robert V Antolak (DENTIST) |
| Authorized Official Contact | 5862473500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gentle Dentist 15055 22 Mile Rd Ste 2 Shelby Township MI 48315-4401 Ph: (586) 247-3500 | The Gentle Dentist 15055 22 Mile Rd Ste 2 Shelby Township MI 48315-4401 Ph: (586) 247-3500 |
| NPI Number | 1235747718 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235747718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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