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Organization
PRISTINE DENTAL CARE
Active
Organization
PRISTINE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK A JOSEPH DDS (DOCTOR)
(229) 740-3890
Entity
Organization
Contact information
Practice address
3021 E WALTON BLVD, AUBURN HILLS, MI 48326-2368
(229) 740-3890
Mailing address
4733 WOBURN DR, LAKE ORION, MI 48359-1767
(229) 740-3890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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