Individual
DR. LAURENCE EDWARD WILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 LAKESHORE DR, MOOSE LAKE, MN 55767-9449
(218) 485-5100
Mailing address
1000 LAKESHORE DR, MOOSE LAKE, MN 55767-9449
(218) 485-5100
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D9868
MN
Other
Enumeration date
12/05/2023
Last updated
04/26/2024
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