| NPI | 1649870767 | 
|---|---|
| Doing Business As | CREEKWOOD DENTAL OF WARREN | 
| Entity Type | Organization | 
| Authorized Contact | AHMER QAMAR Owner 586-294-4710  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2020-10-28 | 
| Last Update Date | 2020-10-28 |