Individual
LAWRENCE H KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1912 LEXINGTON AVE N, ROSEVILLE, MN 55113-6113
(651) 636-2420
(651) 482-6144
Mailing address
1912 LEXINGTON AVE N STE 150, 700 VILLAGE CENTER DRIVE, #170, NORTH OAKS, MN 55127, ROSEVILLE, MN 55113-6100
(651) 636-2420
(651) 636-3199
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4197
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33703200
—
WI
Enumeration date
06/22/2005
Last updated
10/11/2007
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