| NPI | 1275321192 |
|---|---|
| Doing Business As | CRESCENT CITY ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | TRENT LALLY Endodontist 248-866-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |