Organization
ELITE SMILE FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHA M PATEL (OWNER)
(734) 709-6861
Entity
Organization
Contact information
Practice address
17043 RIDGE RD, NORTHVILLE, MI 48168-9555
(734) 709-6861
Mailing address
21312 SUMMERBREEZE DR, NORTHVILLE, MI 48167-1867
(734) 709-6861
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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