# TODDS LANE FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1588420772
- **Authorized official:** OPAL ANDERSON (MANAGER)
- **Authorized official phone:** (440) 823-6790

## Contact information

- **Practice address:** 1817 TODDS LN, HAMPTON, VA 23666-3124
- **Practice address phone:** (917) 809-8400
- **Mailing address:** 33300 WARREN RD STE 29, WESTLAND, MI 48185-9627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 08/22/2024