# ELITE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1417824863
- **Authorized official:** FARAH NASSER DDS (OWNER/DENTIST)
- **Authorized official phone:** (734) 437-4306

## Contact information

- **Practice address:** 42450 W TWELVE MILE RD STE 200, NOVI, MI 48377-3011
- **Practice address phone:** (248) 348-8808
- **Mailing address:** 42450 W TWELVE MILE RD STE 200, NOVI, MI 48377-3011
- **Mailing address phone:** (248) 348-8808

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2025
- **Last updated:** 10/27/2025
