# REKHA PALLI DENTAL PC

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

## Provider details

- **NPI number:** 1568907152
- **Authorized official:** DR. REKHA MADHURI PALLI DDS (GENERAL DENTIST)
- **Authorized official phone:** (248) 756-7258

## Contact information

- **Practice address:** 48224 HEATHER CT, NORTHVILLE, MI 48168-8530
- **Practice address phone:** (248) 756-7258
- **Mailing address:** 4081 S CANTON CENTER RD, CANTON, MI 48188-2488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901020008 | MI | Yes |

## Other

- **Enumeration date:** 01/05/2017
- **Last updated:** 01/05/2017
