Individual
DR. LARRY J PRITCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7030 NEW SANGER RD, SUITE 100, WACO, TX 76712-3991
(254) 751-1171
(254) 751-0884
Mailing address
7030 NEW SANGER AVE STE 100, WACO, TX 76712-4073
(254) 751-1171
(254) 751-0884
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10880
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
T15373
TX
Other
Enumeration date
09/05/2006
Last updated
07/10/2020
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