Organization
DEANNA M. PONIATOWSKI
Active
Other names
Crestview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA M PONIATOWSKI D.D,S. (PRESIDENT)
(586) 226-9000
Entity
Organization
Contact information
Practice address
46600 ROMEO PLANK RD, SUITE 1, MACOMB, MI 48044-5741
(586) 226-9000
(586) 226-3370
Mailing address
46600 ROMEO PLANK RD, SUITE 1, MACOMB, MI 48044-5741
(586) 226-9000
(586) 226-3370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016438
MI
Other
Enumeration date
05/29/2007
Last updated
08/07/2008
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