# PRISTINE DENTAL CARE

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

## Provider details

- **NPI number:** 1437758398
- **Authorized official:** DR. DERRICK A JOSEPH DDS (DOCTOR)
- **Authorized official phone:** (229) 740-3890

## Contact information

- **Practice address:** 3021 E WALTON BLVD, AUBURN HILLS, MI 48326-2368
- **Practice address phone:** (229) 740-3890
- **Mailing address:** 4733 WOBURN DR, LAKE ORION, MI 48359-1767
- **Mailing address phone:** (229) 740-3890

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 10/21/2020