NPI | 1679672828 |
---|---|
Former Legal Business Name | LARRY E LANDERS DDS |
Entity Type | Organization |
Authorized Contact | LARRY EDWARD LANDERS President Larry E Landers Dds Pc 478-741-3683 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN007343) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN007343) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2023-03-07 |