Organization
LAWRENCE PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J COBB DDS (PRESIDENT)
(913) 963-3268
Entity
Organization
Contact information
Practice address
346 MAINE, LAWRENCE, KS 66044-1393
(785) 842-9223
(785) 842-4335
Mailing address
346 MAINE, LAWRENCE, KS 66044-1393
(785) 842-9223
(785) 842-4335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6727
KS
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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