# FAMILY DENTISTRY, PC

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

## Provider details

- **NPI number:** 1710151360
- **Authorized official:** DR. BRUCE A ROSENBLUM D.D.S. (PRESIDENT)
- **Authorized official phone:** (313) 383-3000

## Contact information

- **Practice address:** 10501 ALLEN RD, SUITE 105, ALLEN PARK, MI 48101-1281
- **Practice address phone:** (313) 383-3000
- **Practice address fax:** (313) 383-1631
- **Mailing address:** 10501 ALLEN RD, SUITE 105, ALLEN PARK, MI 48101-1281
- **Mailing address phone:** (313) 383-3000
- **Mailing address fax:** (313) 383-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008