Individual
CARLA JEAN LALANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411483
VA
1223P0221X
Pediatric Dentistry
Primary
S6-89
NV
Other
Enumeration date
01/29/2007
Last updated
10/15/2008
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