| NPI | 1063666964 |
|---|---|
| Doing Business As | LARRY W LOVERIDGE, DMD, PLLC |
| Entity Type | Organization |
| Authorized Contact | LARRY W LOVERIDGE Pediatric Dentist 509-947-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA DE00007618) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-06 |