Individual
LARRY EDWARD SPRAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
709 E MAIN ST, PANORA, IA 50216-1056
(641) 755-3030
Mailing address
709 E MAIN ST, PANORA, IA 50216-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08955
IA
Other
Enumeration date
08/29/2012
Last updated
11/27/2013
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