Individual
DR. LARRY DONALD MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 N JACKSON ST, LA GRANGE, TX 78945-2041
(979) 968-3114
Mailing address
500 N JACKSON ST, LA GRANGE, TX 78945-2041
(979) 968-3114
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9342
TX
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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