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Organization
WAYNE FAMILY DENTAL PLLC
Active
Organization
WAYNE FAMILY DENTAL PLLC
Active
Other names
village dental
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LABRANCHE (COO)
(586) 651-2155
Entity
Organization
Contact information
Practice address
35100 E MICHIGAN AVE, WAYNE, MI 48184-3698
(586) 651-2155
Mailing address
35100 E MICHIGAN AVE, WAYNE, MI 48184-3698
(586) 651-2155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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