Individual
DR. LAWRENCE MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
VCU SCHOOL OF DENTISTRY 520 N 12TH ST, RICHMOND, VA 23298-0566
(804) 828-5703
Mailing address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-5703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004457
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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