# PRISTINE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083339717
- **Authorized official:** DR. NEHA KUTHIALA DDS (DDS)
- **Authorized official phone:** (313) 330-6160

## Contact information

- **Practice address:** 30900 BECK RD, NOVI, MI 48377-1001
- **Practice address phone:** (313) 330-6160
- **Mailing address:** 2918 STANTON ST, CANTON, MI 48188-8029
- **Mailing address phone:** (313) 330-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2022
- **Last updated:** 10/05/2022