Individual
DR. LAWRENCE DEAN BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4426 WEST KL AVE., KALAMAZOO, MI 49006-5723
(269) 353-7700
(269) 353-8007
Mailing address
5504 STONEY BROOK RD, KALAMAZOO, MI 49009-7703
(269) 375-1905
(269) 353-8007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012073
MI
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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