Individual
DR. LARRY EDWARD LANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 COLLEGE ST, SUITE 2, MACON, GA 31201-7206
(478) 741-3688
(478) 741-0912
Mailing address
155 COLLEGE ST, SUITE 2, MACON, GA 31201-7206
(478) 741-3688
(478) 741-0912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN007343
GA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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