Office 5 Pllc
NPI #1407450877 in South Lyon, Michigan
Provider Information
- NPI Number
- 1407450877
- Entity Type
- Organization
- Organization Name
- Office 5 Pllc
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Nov 25, 2020
- Last Updated
- Nov 25, 2020
Practice Location
- Address
- 201 S LAFAYETTE ST
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-1405
- Phone
- (248) 437-4119
Authorized Official
- Name
- DR. RANDALL LOREN SHAW, DDS, MS
- Title
- OWNER
- Phone
- (248) 931-1151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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