Individual
LAUREL ALAINE PRICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
618 N BENTON AVE, SPRINGFIELD, MO 65806-1102
(417) 831-0150
(417) 831-0155
Mailing address
PO BOX 681, SPRINGFIELD, MO 65801-0681
(417) 831-0150
(417) 831-0155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008018262
MO
Other
Enumeration date
07/23/2008
Last updated
03/30/2011
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