WATERFORD KIDS DENTAL CLUB, PLLC is a general practice dentist in Waterford, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WATERFORD KIDS DENTAL CLUB, PLLC NPI is 1689224818. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3801 ELIZABETH LAKE RD
WATERFORD, MI
ZIP 48328-017
Phone: (248) 909-2132
The provider's authorized official is Rebeca Urquiola .
The authorized official title is Owner and has the following contact phone number (248) 909-2132.
The CLIA number assigned to this NPI record is 23D0372415 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/19/2019 and was last updated on 9/19/2019.