Organization
TODDS LANE FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (MANAGER)
(440) 823-6790
Entity
Organization
Contact information
Practice address
1817 TODDS LN, HAMPTON, VA 23666-3124
(917) 809-8400
Mailing address
33300 WARREN RD STE 29, WESTLAND, MI 48185-9627
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
08/22/2024
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