Organization
L VAN AMEYEDE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY VAN AMEYEDE (OWNER)
(586) 323-1600
Entity
Organization
Contact information
Practice address
51745 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4451
(586) 323-1600
(586) 323-1644
Mailing address
51745 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4451
(586) 323-1600
(586) 323-1644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10374
MI
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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