Organization
HAZLE MAXWELL RASTOGI PLLC
Active
Other names
Olde Orchard Pediatric Dentistry Brighton
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MAXWELL DDS (OWNER)
(248) 478-3232
Entity
Organization
Contact information
Practice address
8159 CHALLIS RD, BRIGHTON, MI 48116-7446
(248) 478-3232
Mailing address
43025 W TWELVE MILE RD, NOVI, MI 48377-3012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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