| NPI | 1699637371 |
|---|---|
| Doing Business As | FOURTH CREEK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CRAWFORD Owner 248-331-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |