Organization
WENDELL D LAWRENCE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL D LAWRENCE DDS (OWNER)
(248) 356-6464
Entity
Organization
Contact information
Practice address
25865 W 12 MILE RD STE C-109, SOUTHFIELD, MI 48034-1817
(248) 356-6464
Mailing address
25865 W 12 MILE RD # C-109, SOUTHFIELD, MI 48034-1817
(248) 356-6464
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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