Organization
A1 FAMILY DENTISTRY OF CLINTON TOWNSHIP,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANEEL RANDHAWA DDS (OWNER)
(586) 226-0638
Entity
Organization
Contact information
Practice address
15980 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1140
(586) 226-0638
Mailing address
50481 KOSS DR, MACOMB, MI 48044-6320
(586) 226-0638
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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