| Crestview Dental | |
|
46600 Romeo Plank Rd Suite 1 Macomb MI 48044-5741 | |
| (586) 226-9000 | |
| (586) 226-3370 |
| Full Name | Crestview Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 46600 Romeo Plank Rd, Macomb, Michigan |
| Authorized Official Name and Position | Deanna M Poniatowski (PRESIDENT) |
| Authorized Official Contact | 5862269000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Dental 46600 Romeo Plank Rd Suite 1 Macomb MI 48044-5741 Ph: (586) 226-9000 | Crestview Dental 46600 Romeo Plank Rd Suite 1 Macomb MI 48044-5741 Ph: (586) 226-9000 |
| NPI Number | 1952502817 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952502817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016438 (Michigan) | Primary |
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