Organization
LAURA AVERSANO DDS PLLC
Active
Other names
Ebeling Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M MARTINEZ AVERSANO DDS (PRESIDENT)
(847) 910-2873
Entity
Organization
Contact information
Practice address
416 E. GRAND RIVER AVE., HOWELL, MI 48843
(517) 546-3180
Mailing address
416 E. GRAND RIVER AVE., HOWELL, MI 48843
(517) 546-3180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
02/09/2026
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