Individual
JOANNA I LARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
114 VISION PARK BLVD STE 200, SHENANDOAH, TX 77384-3008
(936) 321-1477
(936) 271-1467
Mailing address
114 VISION PARK BLVD STE 200, SHENANDOAH, TX 77384-3008
(936) 321-1477
(936) 271-1467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17142
MI
122300000X
Dentist
25987
TX
1223G0001X
General Practice Dentistry
25987
TX
Other
Enumeration date
10/28/2008
Last updated
09/17/2025
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