Larry Wareck

NPI #1558801720 in Interlochen, Michigan

Provider Information

NPI Number: 1558801720
Entity Type: Organization
Organization Name: Larry Wareck
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2017
Last Updated: Mar 7, 2017

Practice Location

Address: 2120 M 137 # 95
City: Interlochen
State: Michigan
ZIP Code: 49643-9386
Phone: (231) 276-9051

Authorized Official

Name: RENEE WARECK, MANAGER
Title: WIFE
Phone: (231) 276-9051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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