Organization
LARRY E. MCENTIRE, D.D.S., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E. MCENTIRE D.D.S. (PRESIDENT)
(928) 669-2573
Entity
Organization
Contact information
Practice address
1220 W ARIZONA AVE, PARKER, AZ 85344-5647
(928) 669-2573
(928) 669-5953
Mailing address
8813 BUFFALO CLOUD AVE, LAS VEGAS, NV 89143-5407
(702) 655-2882
(702) 655-7980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/29/2008
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