DR. Larry Edison Baucom, D.D.S.

NPI #1720158504 in Pinehurst, North Carolina

Provider Information

NPI Number
1720158504
Entity Type
Individual
Name
DR. Larry Edison Baucom, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
305 PAGE RD. NORTH
ZIP Code
28374
Phone
(910) 295-1010

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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