Organization
CRESCENT LAKE DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SOBH DDS (OWNER/DOCTOR)
(313) 663-6484
Entity
Organization
Contact information
Practice address
998 CRESCENT LAKE RD, WATERFORD, MI 48327-2594
(248) 682-9331
Mailing address
1849 N DENWOOD ST, DEARBORN, MI 48128-1156
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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