# CONTEMPORARY DENTISTRY CENTER CANTON PLLC

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

## Provider details

- **NPI number:** 1891404372
- **Authorized official:** MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
- **Authorized official phone:** (727) 424-2990

## Contact information

- **Practice address:** 1325 N CANTON CENTER RD, CANTON, MI 48187-2950
- **Practice address phone:** (734) 455-0095
- **Mailing address:** 1325 N CANTON CENTER RD, CANTON, MI 48187-2950

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2022
- **Last updated:** 11/23/2022