NPI 1124884366

Crescent Lake Dental Care PLLC

Organisation Dental Clinic/Center Waterford, MI

Practice location

Address: 998 Crescent Lake Rd, Waterford, MI 48327-2594
Phone: (248) 682-9331
Mailing address: 1849 N Denwood St, Dearborn, MI 48128-1156

Authorised official

Name: Mohammed Sobh
Title: Owner/Doctor
Phone: (313) 663-6484

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1124884366
Entity type: Organization
NPI issued: 26 Feb 2024
Record last updated: 26 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.