Individual
DR. MICHAEL R. LAFERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2805 E. 29TH STREET, JOPLIN, MO 64804
(417) 206-7770
(417) 206-7844
Mailing address
2805 E. 29TH STREET, JOPLIN, MO 64804
(417) 206-7770
(417) 206-7844
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015784
MO
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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