# LAURICH DENTISTRY FARMINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurich Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689119190
- **Authorized official:** DR. MATTHEW CHARLES LAURICH DDS (OWNER/PROVIDER)
- **Authorized official phone:** (248) 553-0110

## Contact information

- **Practice address:** 31700 W 12 MILE RD STE 103, FARMINGTON HILLS, MI 48334-4460
- **Practice address phone:** (248) 553-0110
- **Practice address fax:** (248) 573-0233
- **Mailing address:** 30620 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3808
- **Mailing address phone:** (248) 553-0110
- **Mailing address fax:** (248) 573-0233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020757 | MI | Yes |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 04/27/2021