# WYOMING DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1710909767
- **Authorized official:** DR. DEAN LAWRENCE WEBER D.D.S. (DENTIST)
- **Authorized official phone:** (616) 532-9003

## Contact information

- **Practice address:** 1621 44TH ST SW, WYOMING, MI 49509-4387
- **Practice address phone:** (616) 532-9003
- **Practice address fax:** (616) 532-7197
- **Mailing address:** 1621 44TH ST SW, WYOMING, MI 49509-4387
- **Mailing address phone:** (616) 532-9003
- **Mailing address fax:** (616) 532-7197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14166 | MI | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 01/31/2008