Individual
LAWRENCE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
901 CORRECTION WAY, JARRATT, VA 23870-9998
(434) 535-7000
Mailing address
901 CORRECTION WAY, JARRATT, VA 23870-9998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412538
VA
Other
Enumeration date
08/10/2009
Last updated
09/13/2010
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