Crestwood Dental on the Lake, PLC
Crestwood Dental on the Lake, PLC is a Dental Clinic/Center in Leonard, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1363 Rochester RdLeonard, MI 48367-6607
Phone: (248) 800-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1306506100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Abdelmessih — Owner · (248) 800-4140 |
| NPI enumerated | December 21, 2021 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
| Mailing address | 1363 Rochester Rd, Leonard, MI 48367-6607 |