Individual
LARRY PATRICK DEWULF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8609 W GRAND RIVER, #102-1, BRIGHTON, MI 48116
(810) 229-5990
(810) 229-5999
Mailing address
8609 W GRAND RIVER, #102-1, BRIGHTON, MI 48116
(810) 229-5990
(810) 229-5999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011029
MI
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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