Individual
ANTHONY JACOB LASZLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3714 SASHABAW RD, WATERFORD, MI 48329-2067
(248) 674-4171
Mailing address
3714 SASHABAW RD, WATERFORD, MI 48329-2067
(248) 674-4171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600530
MI
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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