# BEULAH FAMILY DENTISTRY , PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Pine Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811663982
- **Authorized official:** DR. JOSHUA SHAW BRUDI DDS (DENTIST OWNER)
- **Authorized official phone:** (248) 974-8978

## Contact information

- **Practice address:** 589 BEULAH HWY, BEULAH, MI 49617-8708
- **Practice address phone:** (248) 974-8978
- **Mailing address:** 3986 HEATHERWOOD DR E, TRAVERSE CITY, MI 49684-8615
- **Mailing address phone:** (248) 974-8978

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/19/2021