Organization · Type 2 NPI
Crestwood Dental On the Lake, PLC
Dental Clinic/Center · Leonard, MI
NPI number
1306506100
Active
Practice location
1363 Rochester Rd
Leonard, MI 48367-6607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1306506100
Crestwood Dental On the Lake, PLC's National Provider Identifier is 1306506100, issued on Dec 21, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Leonard, MI. The record was last updated on Dec 21, 2021.