# LARRY J LOEWEN DDS PC

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

## Provider details

- **NPI number:** 1821121765
- **Authorized official:** DR. LARRY J LOEWEN D.D.S (PRESIDENT OWNER)
- **Authorized official phone:** (248) 474-0100

## Contact information

- **Practice address:** 20240 FARMINGTON RD, LIVONIA, MI 48152-1412
- **Practice address phone:** (248) 474-0100
- **Practice address fax:** (248) 474-1588
- **Mailing address:** 20240 FARMINGTON RD, LIVONIA, MI 48152-1412
- **Mailing address phone:** (248) 474-0100
- **Mailing address fax:** (248) 474-1588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10559 | MI | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020