Organization
PRISTINE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEHA KUTHIALA DDS (DDS)
(313) 330-6160
Entity
Organization
Contact information
Practice address
30900 BECK RD, NOVI, MI 48377-1001
(313) 330-6160
Mailing address
2918 STANTON ST, CANTON, MI 48188-8029
(313) 330-6160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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