Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Waterford Kids Dental Club, PLLC

Organization General Practice Dentistry · NPI 1689224818

Waterford Kids Dental Club, PLLC provides General Practice Dentistry in Waterford, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3801 Elizabeth Lake Rd
Waterford, MI 48328-3017
Phone: (248) 909-2132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1689224818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebeca Urquiola — Owner · (248) 909-2132
NPI enumeratedSeptember 19, 2019
Last updated in NPPESSeptember 19, 2019
Mailing address4220 Surrey Cross, Bloomfield Hills, MI 48301-1669

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