Organization
ERIC J. LAVID, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOY LAVID DDS (DENTIST)
(816) 331-1144
Entity
Organization
Contact information
Practice address
613 W CONWAY ST STE 101, RAYMORE, MO 64083-7301
(816) 331-1144
(816) 322-2271
Mailing address
613 W CONWAY ST STE 101, RAYMORE, MO 64083-7301
(816) 331-1144
(816) 322-2271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016088
MO
122300000X
Dentist
016137
MO
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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