NPI | 1689119190 |
---|---|
Doing Business As | LAURICH DENTISTRY |
Entity Type | Organization |
Authorized Contact | MATTHEW CHARLES LAURICH Owner/Provider 248-553-0110 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020757) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2021-04-27 |