Individual
JUSTINA MARIE LAPOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
432 S WASHINGTON AVE, UNIT #1301, ROYAL OAK, MI 48067-3854
(248) 469-2724
Mailing address
432 S WASHINGTON AVE, UNIT #1301, ROYAL OAK, MI 48067-3854
(248) 469-2724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020861
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020861
MI
Other
Enumeration date
10/31/2013
Last updated
02/03/2014
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