Individual
LAURA A VANVARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13670 METROPOLIS AVE, #102, FT MYERS, FL 33912
(239) 768-2588
(239) 768-1448
Mailing address
6903 RAIN LILY RD, #201, NAPLES, FL 34109
(239) 514-1349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16614
FL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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