# LAPEER DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003036161
- **Authorized official:** PETER M MUTCH DDS (PRESIDENT OF ORGANIZATION)
- **Authorized official phone:** (810) 664-4542

## Contact information

- **Practice address:** 381 N SAGINAW, LAPEER, MI 48446
- **Practice address phone:** (810) 664-4542
- **Practice address fax:** (810) 664-3580
- **Mailing address:** 381 N SAGINAW, LAPEER, MI 48446
- **Mailing address phone:** (810) 664-4542
- **Mailing address fax:** (810) 664-3580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 08/22/2020