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Organization
LAWRENCE E. PORTEOUS DDS
Active
Organization
LAWRENCE E. PORTEOUS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE ERIC PORTEOUS (DENTIST)
(925) 736-9000
Entity
Organization
Contact information
Practice address
3840 BLACKHAWK RD, SUITE 110, DANVILLE, CA 94506-4900
(925) 736-9000
(925) 736-9024
Mailing address
3840 BLACKHAWK RD, SUITE 110, DANVILLE, CA 94506-4900
(925) 736-9000
(925) 736-9024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29191
CA
Other
Enumeration date
11/27/2006
Last updated
07/12/2007
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