| Lakes Pediatric Dentistry | |
|
3101 Union Lake Rd Commerce MI 48382-4547 | |
| (248) 360-2555 | |
| (248) 360-1333 |
| Full Name | Lakes Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3101 Union Lake Rd, Commerce, Michigan |
| Authorized Official Name and Position | Naila S Farooq (PRESIDENT) |
| Authorized Official Contact | 2483602555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Pediatric Dentistry 3101 Union Lake Rd Commerce MI 48382-4547 Ph: (248) 360-2555 | Lakes Pediatric Dentistry 3101 Union Lake Rd Commerce MI 48382-4547 Ph: (248) 360-2555 |
| NPI Number | 1952350852 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952350852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901017794 (Michigan) | Primary |