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Organization

LAWRENCE DENTAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE STEWART DAVIS DDS (OWNER)
(573) 636-6220
Entity
Organization

Contact information

Practice address
915 SOUTHWEST BLVD STE D, JEFFERSON CITY, MO 65109-5014
(573) 636-6220
(573) 636-2155
Mailing address
915 SOUTHWEST BLVD STE D, JEFFERSON CITY, MO 65109-5014
(573) 636-6220
(573) 636-2155

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE014989
MO

Other

Enumeration date
06/14/2007
Last updated
10/31/2007
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