LAWRENCE JOHN CHILD

GOODING, ID
NPI1811099765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  d1473)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE JOHN CHILD DDS, PC
126 5TH AVE W
GOODING, ID 83330-1202
Phone number: 208-934-4610
Mailing Address
Dr. LAWRENCE JOHN CHILD DDS, PC
126 5TH AVE W
GOODING, ID 83330-1202
Phone number: 208-934-4610
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