DR. Lawrence John Child, DDS, PC

NPI #1811099765 in Gooding, Idaho

Provider Information

NPI Number
1811099765
Entity Type
Individual
Name
DR. Lawrence John Child, DDS, PC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS, PC
Enumeration Date
Sep 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
126 5TH AVE W
State
Idaho
ZIP Code
83330-1202
Phone
(208) 934-4610

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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