# ALLEN PARK FAMILY DENTAL CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allen Park Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902284375
- **Authorized official:** DR. MICHAEL PASSERA DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (313) 388-3550

## Contact information

- **Practice address:** 6760 ALLEN RD, SUITE 201, ALLEN PARK, MI 48101-2078
- **Practice address phone:** (313) 388-3550
- **Mailing address:** 6760 ALLEN RD, SUITE 201, ALLEN PARK, MI 48101-2078
- **Mailing address phone:** (313) 388-3550

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 05/18/2015