L Van Ameyde Dds, PC

NPI #1700064847 in Shelby Twp, Michigan

Provider Information

NPI Number: 1700064847
Entity Type: Organization
Organization Name: L Van Ameyde Dds, PC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Jan 31, 2008
Last Updated: Jan 31, 2008

Practice Location

Address: 51745 VAN DYKE
City: Shelby Twp
State: Michigan
ZIP Code: 48316
Phone: (586) 323-1600

Authorized Official

Name: LARRY VAN AMEYDE
Title: ORAL SURGEON
Phone: (586) 323-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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