# MY FAMILY DENTAL NOVI PLLC

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

## Provider details

- **NPI number:** 1376096339
- **Authorized official:** EPHY WEINBERG (GENERAL MANAGER)
- **Authorized official phone:** (412) 849-3919

## Contact information

- **Practice address:** 18800 W 10 MILE RD, SOUTHFIELD, MI 48075-2654
- **Practice address phone:** (248) 569-6304
- **Mailing address:** 24033 MEADOWBROOK RD, NOVI, MI 48375-3456
- **Mailing address phone:** (248) 569-6304

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 07/26/2016