Lake Odessa Dental, Pllc
NPI #1851889471 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1851889471
- Entity Type
- Organization
- Organization Name
- Lake Odessa Dental, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Apr 30, 2018
Practice Location
- Address
- 1032 4TH AVE
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-1004
- Phone
- (616) 374-8828
Authorized Official
- Name
- DR. MICHAEL JOSEPH CRETE, DDS
- Title
- MEMBER
- Phone
- (616) 560-3625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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