# POINTE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1528291382
- **Authorized official:** DR. PAUL S VAN WALLEGHEM DDS (OWNER)
- **Authorized official phone:** (313) 886-9201

## Contact information

- **Practice address:** 18342 MACK AVE, GROSSE POINTE FARMS, MI 48236-3219
- **Practice address phone:** (313) 886-9201
- **Mailing address:** 18342 MACK AVE, GROSSE POINTE FARMS, MI 48236-3219
- **Mailing address phone:** (313) 886-9201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | BV0626397 | MI | Yes |

## Other

- **Enumeration date:** 08/27/2009
- **Last updated:** 08/27/2009