Individual
CLARIAN LANNOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
321 W WATER ST, SUITE 115, KERRVILLE, TX 78028-4230
(830) 896-8343
Mailing address
321 W WATER ST, SUITE 115, KERRVILLE, TX 78028-4230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30164
TX
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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