| Crescent Lake Dental Care Pllc | |
|
998 Crescent Lake Rd Waterford MI 48327-2594 | |
| (248) 682-9331 | |
| Not Available |
| Full Name | Crescent Lake Dental Care Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 998 Crescent Lake Rd, Waterford, Michigan |
| Authorized Official Name and Position | Mohammed Sobh (OWNER/DOCTOR) |
| Authorized Official Contact | 3136636484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Lake Dental Care Pllc 1849 N Denwood St Dearborn MI 48128-1156 Ph: () - | Crescent Lake Dental Care Pllc 998 Crescent Lake Rd Waterford MI 48327-2594 Ph: (248) 682-9331 |
| NPI Number | 1124884366 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124884366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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