Organization
A1 FAMILY DENTISTRY OF PONTIAC,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANEEL KAUR RANDHAWA D.D.S (OWNER)
(586) 226-0638
Entity
Organization
Contact information
Practice address
1018 JOSLYN AVE, PONTIAC, MI 48340-2929
(248) 636-2105
Mailing address
50481 KOSS DR, MACOMB, MI 48044-6320
(586) 226-0638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019199
MI
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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