Individual
ADAM LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6112 MERLIN CT, MIDLAND, MI 48640
(989) 839-5833
(989) 839-9553
Mailing address
6112 MERLIN CT, MIDLAND, MI 48640-7358
(989) 839-5833
(989) 839-9553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018.001932
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901022843
MI
Other
Enumeration date
11/05/2014
Last updated
02/17/2020
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