| Laurich Dentistry | |
|
31700 W 12 Mile Rd Ste 103 Farmington Hills MI 48334-4460 | |
| (248) 553-0110 | |
| (248) 573-0233 |
| Full Name | Laurich Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31700 W 12 Mile Rd Ste 103, Farmington Hills, Michigan |
| Authorized Official Name and Position | Matthew Charles Laurich (OWNER/PROVIDER) |
| Authorized Official Contact | 2485530110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurich Dentistry 30620 W 12 Mile Rd Farmington Hills MI 48334-3808 Ph: (248) 553-0110 | Laurich Dentistry 31700 W 12 Mile Rd Ste 103 Farmington Hills MI 48334-4460 Ph: (248) 553-0110 |
| NPI Number | 1689119190 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689119190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901020757 (Michigan) | Primary |
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