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Organization
DAN LAWSON DDS, PC
Active
Organization
DAN LAWSON DDS, PC
Active
Other names
Potlatch Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DANIEL LAWSON D.D.S. (OWNER)
(208) 875-0441
Entity
Organization
Contact information
Practice address
225 6TH STREET, POTLATCH, ID 83855
(208) 875-0441
(208) 875-0972
Mailing address
PO BOX 601, POTLATCH, ID 83855-0601
(208) 875-0441
(208) 875-0972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4638
ID
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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