| Stephen E. Gork, Dds,pc | |
|
26771 W 12 Mile Rd G-115 Southfield MI 48034-1539 | |
| (248) 353-7440 | |
| (248) 353-3148 |
| Full Name | Stephen E. Gork, Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26771 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Stephen Edward Gork (PRESIDENT) |
| Authorized Official Contact | 2483537440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen E. Gork, Dds,pc 26771 W 12 Mile Rd G-115 Southfield MI 48034-1539 Ph: (248) 353-7440 | Stephen E. Gork, Dds,pc 26771 W 12 Mile Rd G-115 Southfield MI 48034-1539 Ph: (248) 353-7440 |
| NPI Number | 1073992483 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073992483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12696 (Michigan) | Primary |
News Archive
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