| Crestwood Dental On The Lake, Plc | |
|
1363 Rochester Rd Leonard MI 48367-6607 | |
| (248) 800-4140 | |
| Not Available |
| Full Name | Crestwood Dental On The Lake, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1363 Rochester Rd, Leonard, Michigan |
| Authorized Official Name and Position | John J Abdelmessih (OWNER) |
| Authorized Official Contact | 2488004140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestwood Dental On The Lake, Plc 1363 Rochester Rd Leonard MI 48367-6607 Ph: (248) 800-4140 | Crestwood Dental On The Lake, Plc 1363 Rochester Rd Leonard MI 48367-6607 Ph: (248) 800-4140 |
| NPI Number | 1306506100 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306506100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |