Provider Demographics
NPI:1548363120
Name:LABOE, ANTHONY MICHAEL (DDS MS)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MICHAEL
Last Name:LABOE
Suffix:
Gender:M
Credentials:DDS MS
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Other - Credentials:
Mailing Address - Street 1:876 STEWART RD
Mailing Address - Street 2:STE B
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162
Mailing Address - Country:US
Mailing Address - Phone:734-243-5050
Mailing Address - Fax:734-243-5328
Practice Address - Street 1:876 STEWART RD
Practice Address - Street 2:STE B
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162
Practice Address - Country:US
Practice Address - Phone:734-243-5050
Practice Address - Fax:734-243-5328
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI29010176451223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics