Individual
DR. MATTHEW LAURICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6161 ORCHARD LAKE RD, SUITE 201, WEST BLOOMFIELD, MI 48322-2384
(248) 851-4915
Mailing address
6183 THORNCREST DR, BLOOMFIELD HILLS, MI 48301-1706
(248) 891-8515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020757
MI
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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