Eric J. Lavid, Dds, LLC

NPI #1134477250 in Raymore, Missouri

Provider Information

NPI Number: 1134477250
Entity Type: Organization
Organization Name: Eric J. Lavid, Dds, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 21, 2012
Last Updated: Aug 21, 2012

Practice Location

Address: 613 W CONWAY ST STE 101
City: Raymore
State: Missouri
ZIP Code: 64083-7301
Phone: (816) 331-1144

Authorized Official

Name: DR. JOY LAVID, DDS
Title: DENTIST
Phone: (816) 331-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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