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5347 Crystal Creek Ln Washington Township MI 48094-2674 | |
| (586) 271-0603 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5347 Crystal Creek Ln, Washington Township, Michigan |
| Authorized Official Name and Position | Aaron Stuart Johnson (OWNER / DENTIST) |
| Authorized Official Contact | 5862710603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5347 Crystal Creek Ln Washington Township MI 48094-2674 Ph: (586) 271-0603 | 5347 Crystal Creek Ln Washington Township MI 48094-2674 Ph: (586) 271-0603 |
| NPI Number | 1255855789 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255855789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |