Individual
LAUREN T ATTIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6649 GLENSHAW CT, WEST BLOOMFIELD, MI 48322-3184
(248) 331-3218
Mailing address
6649 GLENSHAW CT, WEST BLOOMFIELD, MI 48322-3184
(248) 331-3218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601691
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
11/25/2024
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