NPI | 1972600070 |
---|---|
Doing Business As | CRESTWOOD DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN J ABDELMESSIH President 248-620-5420 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-06-17 |