# PEDO ORTHO OF MICHIGAN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Care Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144973371
- **Authorized official:** VICTORIA JOHNSON (CRO)
- **Authorized official phone:** (941) 444-0558

## Contact information

- **Practice address:** 18860 W 10 MILE RD, SOUTHFIELD, MI 48075-2666
- **Practice address phone:** (248) 965-4722
- **Mailing address:** 18860 W 10 MILE RD, SOUTHFIELD, MI 48075-2666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2022
- **Last updated:** 07/21/2026