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Individual

DR. JON CLAUDE LAFLAMME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
109 W PROSPECT ST, THORP, WI 54771-9313
(715) 669-5330
Mailing address
109 W PROSPECT ST, P.O.BOX 401, THORP, WI 54771-9313
(715) 669-5330

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4954
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
392021974
TAX IDNTIFICATION #
WI
Enumeration date
08/02/2006
Last updated
06/12/2008
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