| Elite Smile Family Dentistry Pllc | |
|
17043 Ridge Rd Northville MI 48168-9555 | |
| (734) 709-6861 | |
| Not Available |
| Full Name | Elite Smile Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17043 Ridge Rd, Northville, Michigan |
| Authorized Official Name and Position | Tosha M Patel (OWNER) |
| Authorized Official Contact | 7347096861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Smile Family Dentistry Pllc 21312 Summerbreeze Dr Northville MI 48167-1867 Ph: (734) 709-6861 | Elite Smile Family Dentistry Pllc 17043 Ridge Rd Northville MI 48168-9555 Ph: (734) 709-6861 |
| NPI Number | 1821770520 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821770520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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