# CENTER FOR DENTAL COSMETICS PLLC

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

## Provider details

- **NPI number:** 1932233517
- **Authorized official:** PATTY BAKER (ADMINISTRATOR)
- **Authorized official phone:** (248) 681-8100

## Contact information

- **Practice address:** 304 HAMILTON ROW, BIRMINGHAM, MI 48009-3459
- **Practice address phone:** (248) 540-7770
- **Mailing address:** 1770 GOLF RIDGE DR S, BLOOMFIELD HILLS, MI 48302-1730
- **Mailing address phone:** (248) 681-8100
- **Mailing address fax:** (248) 681-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 09568 | MI | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020