# LITTLE STAR DENTAL SEDATION PLLC

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

## Provider details

- **NPI number:** 1831078807
- **Authorized official:** MARIA FORREST (OWNER)
- **Authorized official phone:** (248) 376-6356

## Contact information

- **Practice address:** 3430 BURNING BUSH RD, BLOOMFIELD, MI 48301-2168
- **Practice address phone:** (248) 376-6356
- **Mailing address:** 3430 BURNING BUSH RD, BLOOMFIELD, MI 48301-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP3000X | Pediatric Anesthesiology Physician | — | NULL | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2025
- **Last updated:** 09/02/2025