LAKE ODESSA DENTAL, PLLC is a dental clinic center in Lake Odessa, MI. LAKE ODESSA DENTAL, PLLC NPI is 1851889471. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Odessa Dental Associates.
The provider's business location address is:
1032 4TH AVE
LAKE ODESSA, MI
ZIP 48849-004
Phone: (616) 374-8828
Fax: (616) 374-7934
The provider's authorized official is Michael Joseph Crete .
The authorized official title is Member and has the following contact phone number (616) 560-3625.
The CLIA number assigned to this NPI record is 23D2256840 - other - fire department with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.