# LAROCK DENTAL

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

## Provider details

- **NPI number:** 1013523216
- **Authorized official:** AARON LAROCK DDS (OWNER/DENTIST)
- **Authorized official phone:** (734) 428-8323

## Contact information

- **Practice address:** 126 E MAIN ST, MANCHESTER, MI 48158-8748
- **Practice address phone:** (734) 428-8323
- **Practice address fax:** (734) 428-1108
- **Mailing address:** PO BOX 386, MANCHESTER, MI 48158-0386

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 09/22/2020