# NORTHSIDE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kuras Dental Health Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659844413
- **Authorized official:** HEATHER M RUNYON (OFFICE MANAGER)
- **Authorized official phone:** (248) 396-6696

## Contact information

- **Practice address:** 132 COLE RD, MONROE, MI 48162-4104
- **Practice address phone:** (734) 242-7120
- **Mailing address:** 132 COLE RD, MONROE, MI 48162-4104
- **Mailing address phone:** (248) 396-6696

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2019
- **Last updated:** 01/04/2019