# ARBOR BLUE FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stadium Family Dentistry of Ann Arbor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891425351
- **Authorized official:** DR. HETAL S PATEL DDS (OWNER)
- **Authorized official phone:** (734) 994-5353

## Contact information

- **Practice address:** 2340 E STADIUM BLVD STE 6, ANN ARBOR, MI 48104-4823
- **Practice address phone:** (734) 994-5353
- **Mailing address:** 6815 PORTSMAN CT, CANTON, MI 48187-2177
- **Mailing address phone:** (313) 598-4969

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022