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Individual

DR. LARRY G. KANNING

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
201 EAST 6TH ST, BOX 496, LAWSON, MO 64062
(816) 296-3252
(816) 296-3058
Mailing address
20470 N RAUM RD, LAWSON, MO 64062-8305
(816) 580-3345

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011458
MO

Other

Enumeration date
10/12/2005
Last updated
07/08/2007
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