Individual
RICHARD K LABURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11552 EAST 12 MILE ROAD, WARREN, MI 48093
(586) 573-7500
Mailing address
17562 REXWOOD, LIVONIA, MI 48152
(734) 261-8231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901008689
MI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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