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Individual

DR. LARRY W FOREHAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1402 S ELLIOTT AVE, AURORA, MO 65605-2104
(417) 678-5055
(417) 678-2460
Mailing address
1402 S ELLIOTT AVE, AURORA, MO 65605-2104
(417) 678-5055
(417) 678-2460

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12078
MO

Other

Enumeration date
01/01/2007
Last updated
07/08/2007
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