# MARK LASZLO, DDS, PC

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

## Provider details

- **NPI number:** 1942496278
- **Authorized official:** DR. MARK ANDREW LASZLO DDS (DENTIST)
- **Authorized official phone:** (248) 674-4171

## Contact information

- **Practice address:** 3714 SASHABAW RD, WATERFORD, MI 48329-2067
- **Practice address phone:** (248) 674-4171
- **Practice address fax:** (248) 674-7372
- **Mailing address:** 3714 SASHABAW RD, WATERFORD, MI 48329-2067
- **Mailing address phone:** (248) 674-4171
- **Mailing address fax:** (248) 674-7372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901014428 | MI | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 06/21/2024