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1093900623
LAWRENCE JEROME FAMILANT
HAMPTON, VA
NPI
1093900623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401004084)
Enumeration Date
2007-09-06
Last Update Date
2007-09-06
Business Address
Dr. LAWRENCE JEROME FAMILANT DDS
18 WEST MELLEN STREET
HAMPTON, VA 23663
Phone number: 757-722-5316
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Mailing Address
Dr. LAWRENCE JEROME FAMILANT DDS
18 WEST MELLEN STREET
HAMPTON, VA 23663
Phone number: 757-722-5316
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