# CANTON PLYMOUTH FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canton Plymouth Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417690009
- **Authorized official:** DR. HETAL PATEL DDS (MEMBER)
- **Authorized official phone:** (734) 981-8040

## Contact information

- **Practice address:** 2200 N CANTON CENTER RD STE 100A, CANTON, MI 48187-5037
- **Practice address phone:** (734) 981-8040
- **Mailing address:** 44757 CHERRY HILL RD, CANTON, MI 48188-1071
- **Mailing address phone:** (734) 981-8040
- **Mailing address fax:** (734) 981-6432

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 04/20/2022