Organization
JOHN J. ABDELMESSIH DDSS PC
Active
Other names
Crestwood Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J ABDELMESSIH D.D.S. (PRESIDENT)
(248) 620-5420
Entity
Organization
Contact information
Practice address
6887 DIXIE HWY, CLARKSTON, MI 48346-5107
(248) 620-5420
(248) 620-2036
Mailing address
6887 DIXIE HWY, CLARKSTON, MI 48346-5107
(248) 620-5420
(248) 620-2036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4778171
—
MI
Enumeration date
09/20/2006
Last updated
06/17/2008
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