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Individual
DR. LARRY RICHARD MEADOR
Active
Individual
DR. LARRY RICHARD MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005671
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000052
VA
Other
Enumeration date
04/12/2006
Last updated
02/19/2008
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