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Individual

DR. LAURENCE CLUNIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2811 PENNSYLVANIA AVE SE STE 2, WASHINGTON, DC 20020-3865
(202) 584-0710
Mailing address
3310 HEIDI LN, SPRINGDALE, MD 20774-2537

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2929
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
096712700
DC
Enumeration date
08/30/2006
Last updated
10/01/2013
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