Organization
SPILLANE AND REYNOLDS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MICHAEL SPILLANE D.D.S.,M.S (OWNER)
(248) 344-8400
Entity
Organization
Contact information
Practice address
45500 W 10 MILE RD, NOVI, MI 48374-3101
(248) 344-8400
(248) 344-8183
Mailing address
45500 W 10 MILE RD, NOVI, MI 48374-3101
(248) 344-8400
(248) 344-8183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14748
MI
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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