MRS. Laura Channing, DDS

NPI #1205120102 in Hayward, Wisconsin

Provider Information

NPI Number: 1205120102
Entity Type: Individual
Name: MRS. Laura Channing, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 8, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 15910 W COMPANY LAKE RD
City: Hayward
State: Wisconsin
ZIP Code: 54843-5320
Phone: (715) 934-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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