Organization
RSS LAWRENCE EMMOTT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE EMMOTT DDS (OWNER)
(866) 500-4985
Entity
Organization
Contact information
Practice address
1912 E MEDLOCK DR, PHOENIX, AZ 85016-4127
(866) 500-4985
Mailing address
1050 TEXAN TRL STE 300, GRAPEVINE, TX 76051-3759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DO2275
AZ
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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