# A1 FAMILY DENTISTRY OF PONTIAC,PLC

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

## Provider details

- **NPI number:** 1639519291
- **Authorized official:** DR. ANEEL KAUR RANDHAWA D.D.S (OWNER)
- **Authorized official phone:** (586) 226-0638

## Contact information

- **Practice address:** 1018 JOSLYN AVE, PONTIAC, MI 48340-2929
- **Practice address phone:** (248) 636-2105
- **Mailing address:** 50481 KOSS DR, MACOMB, MI 48044-6320
- **Mailing address phone:** (586) 226-0638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901019199 | MI | Yes |

## Other

- **Enumeration date:** 06/27/2013
- **Last updated:** 06/27/2013