Organization
ELITEDENT PLLC
Active
Other names
Brookstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA OUSACHI DDS (DDS)
(586) 731-3131
Entity
Organization
Contact information
Practice address
13610 24 MILE RD, SHELBY TWP, MI 48315-2400
(586) 731-3131
Mailing address
13610 24 MILE RD, SHELBY TWP, MI 48315-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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