Individual
DR. LAURENCE EVERETT PUTMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1729 W HARVARD AVE, SUITE 1, ROSEBURG, OR 97471-2788
(541) 673-0131
(541) 673-0176
Mailing address
136 HAYES EDEN LN, ROSEBURG, OR 97470-7036
(541) 672-8321
(541) 673-0176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8376
OR
Other
Enumeration date
10/13/2006
Last updated
08/08/2008
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