BRIAN LAFORGE

RAYTOWN, MO
NPI1043866445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2019031262)
Enumeration Date2019-08-13
Last Update Date2019-08-13
Business Address
BRIAN LAFORGE
10803 E 350 HWY
RAYTOWN, MO 64138-2313
Phone number: 816-358-4008
Mailing Address
BRIAN LAFORGE
10803 E 350 HWY
RAYTOWN, MO 64138-2313
Phone number: 816-358-4008
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