# ADVANCED FAMILY DENTISTRY-PLYMOUTH PLLC

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

## Provider details

- **NPI number:** 1649886748
- **Authorized official:** AL ABDELNOUR DDS (OWNER)
- **Authorized official phone:** (734) 451-7440

## Contact information

- **Practice address:** 44644 ANN ARBOR RD W STE F, PLYMOUTH, MI 48170-4089
- **Practice address phone:** (734) 451-7440
- **Mailing address:** 44644 ANN ARBOR RD W STE F, PLYMOUTH, MI 48170-4089
- **Mailing address phone:** (734) 451-7440

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 09/23/2020
