Organization
CRESTWOOD DENTAL ON THE LAKE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J ABDELMESSIH DDS (OWNER)
(248) 800-4140
Entity
Organization
Contact information
Practice address
1363 ROCHESTER RD, LEONARD, MI 48367-6607
(248) 800-4140
Mailing address
1363 ROCHESTER RD, LEONARD, MI 48367-6607
(248) 800-4140
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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