# GROSSE POINTE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1407388416
- **Authorized official:** CHRIS PANAGOS DDS (OWNER)
- **Authorized official phone:** (313) 882-9729

## Contact information

- **Practice address:** 18501 MACK AVE, GROSSE POINTE FARMS, MI 48236-3224
- **Practice address phone:** (313) 882-9729
- **Mailing address:** 18501 MACK AVE, GROSSE POINTE FARMS, MI 48236-3224
- **Mailing address phone:** (313) 882-9729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13571 | MI | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017