| L Van Ameyede Dds Pc | |
|
51745 Van Dyke Ave Shelby Township MI 48316-4451 | |
| (586) 323-1600 | |
| (586) 323-1644 |
| Full Name | L Van Ameyede Dds Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 51745 Van Dyke Ave, Shelby Township, Michigan |
| Authorized Official Name and Position | Larry Van Ameyede (OWNER) |
| Authorized Official Contact | 5863231600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Van Ameyede Dds Pc 51745 Van Dyke Ave Shelby Township MI 48316-4451 Ph: (586) 323-1600 | L Van Ameyede Dds Pc 51745 Van Dyke Ave Shelby Township MI 48316-4451 Ph: (586) 323-1600 |
| NPI Number | 1740393719 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740393719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10374 (Michigan) | Primary |
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