# LAWRENCE DENTAL STUDIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588153472
- **Authorized official:** DR. NICHOLAS SALAVA DMD (OWNER/DENTIST)
- **Authorized official phone:** (785) 727-8128

## Contact information

- **Practice address:** 5100 BOB BILLINGS PKWY STE 110, LAWRENCE, KS 66049-4094
- **Practice address phone:** (785) 749-2943
- **Practice address fax:** (785) 749-0929
- **Mailing address:** 5100 BOB BILLINGS PKWY STE 110, LAWRENCE, KS 66049-4094
- **Mailing address phone:** (785) 749-2943
- **Mailing address fax:** (785) 749-0929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 61307 | KS | Yes |

## Other

- **Enumeration date:** 05/06/2018
- **Last updated:** 05/06/2018