| Waterford Kids Dental Club, Pllc | |
|
3801 Elizabeth Lake Rd Waterford MI 48328-3017 | |
| (248) 909-2132 | |
| Not Available |
| Full Name | Waterford Kids Dental Club, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3801 Elizabeth Lake Rd, Waterford, Michigan |
| Authorized Official Name and Position | Rebeca Urquiola (OWNER) |
| Authorized Official Contact | 2489092132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Kids Dental Club, Pllc 4220 Surrey Cross Bloomfield Hills MI 48301-1669 Ph: (248) 909-2132 | Waterford Kids Dental Club, Pllc 3801 Elizabeth Lake Rd Waterford MI 48328-3017 Ph: (248) 909-2132 |
| NPI Number | 1689224818 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689224818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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