Individual
LAURENCE EGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10650 GARDEN DR UNIT 106, AURORA, CO 80012-7019
(303) 366-5100
Mailing address
13650 E COLFAX AVE APT 4503, AURORA, CO 80011-7075
(843) 446-4667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203620
CO
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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