Pointe Family Dentistry
Dentist in Grosse Pointe Farms, MI. Organization (NPI-2).
NPI number1528291382
StatusActive
Last updated in NPPESAug 27, 2009
Details
- NPI
- 1528291382
- Entity type
- Organization (NPI-2)
- Legal business name
- Pointe Family Dentistry
- Organization subpart
- No
- Enumeration date
- Aug 27, 2009
- Last updated
- Aug 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | bv0626397 | MI | Yes |
Practice location
18342 Mack AveGrosse Pointe Farms, MI 48236-3219
Phone 313-886-9201
Mailing address
18342 Mack AveGrosse Pointe Farms, MI 48236-3219
Phone 313-886-9201
Authorized official
Paul S Van Walleghem
Owner
3138869201
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