Individual
LAWRENCE MINTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23100 CHERRY HILL ST, SUITE 2, DEARBORN, MI 48124-1493
(313) 274-5060
Mailing address
23100 CHERRY HILL ST, SUITE 2, DEARBORN, MI 48124-1493
(313) 274-5060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010768
MI
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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