# FAMILY DENTAL CENTER OF METROPOLITAN DETROIT PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dental Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184705311
- **Authorized official:** MARY BALESTER (CONTROLLER)
- **Authorized official phone:** (586) 755-5388

## Contact information

- **Practice address:** 27600 HOOVER, WARREN, MI 48093
- **Practice address phone:** (586) 755-4310
- **Practice address fax:** (586) 755-8023
- **Mailing address:** 27600 HOOVER, WARREN, MI 48093
- **Mailing address phone:** (586) 755-5388
- **Mailing address fax:** (586) 755-8026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12545 | MI | — |
| 122300000X | Dentist | 14354 | MI | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020