# LARIS A STUMPOS DDS PC

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

## Provider details

- **NPI number:** 1780755520
- **Authorized official:** LARIS STUMPOS DDS (OWNER)
- **Authorized official phone:** (248) 844-8060

## Contact information

- **Practice address:** 3950 S ROCHESTER RD, SUITE 2000, ROCHESTER HILLS, MI 48307
- **Practice address phone:** (248) 844-8060
- **Practice address fax:** (248) 844-8070
- **Mailing address:** 3950 S ROCHESTER RD, SUITE 2000, ROCHESTER HILLS, MI 48307
- **Mailing address phone:** (248) 844-8060
- **Mailing address fax:** (248) 844-8070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17720 | MI | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/07/2023