Organization
MICHAEL J DELAURA DDS PC
Active
Other names
DeLaura Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH DELAURA DDS (PRESIDENT)
(586) 752-2273
Entity
Organization
Contact information
Practice address
410 S MAIN ST STE 102, ROMEO, MI 48065-5233
(586) 752-2273
(586) 336-7632
Mailing address
410 S MAIN ST STE 102, ROMEO, MI 48065-5233
(586) 752-2273
(586) 336-7632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901012968
MI
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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