Organization
DAN LAWSON DDS, PC
Active
Other names
Potlatch Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DANIEL LAWSON D.D.S. (OWNER)
(208) 875-0441
Entity
Organization
Contact information
Practice address
225 6TH STREET, POTLATCH, ID 83855
(208) 875-0441
(208) 875-0972
Mailing address
PO BOX 601, POTLATCH, ID 83855-0601
(208) 875-0441
(208) 875-0972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4638
ID
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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