Organization
SAMUEL R LASRIS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI B HARRELSON (OFFICE RECEPTIONIST)
(434) 707-2357
Entity
Organization
Contact information
Practice address
395 S MAIN ST, DANVILLE, VA 24541-2925
(434) 797-2357
(434) 797-3596
Mailing address
395 SOUTH MAIN STREET, DANVILLE, VA 24541
(434) 797-2357
(434) 797-3596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412538
VA
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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