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1346320272
DAVID LAWRENCE DETAR
JOPLIN, MO
NPI
1346320272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 12028)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. DAVID LAWRENCE DETAR DDS
3115 ARIZONA AVE
JOPLIN, MO 64804-3125
Phone number: 417-781-8240
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Mailing Address
Dr. DAVID LAWRENCE DETAR DDS
3115 ARIZONA AVE
JOPLIN, MO 64804-3125
Phone number: 417-781-8240
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