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DR. LARRY ROBERT ADAMS DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1962517557

Individual Registrant:
DR. LARRY ROBERT ADAMS DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5340 CORPORATE CENTER LOOP SUITE A LACEY, WA 98503 US
Tel: 360-357-4578  Fax: 360-943-4866

Contact information for business:
5340 CORPORATE CENTER LOOP SUITE A LACEY, WA 98503 US
Tel: 360-357-4578  Fax: 360-943-4866

Registration Information:
NPI: 1962517557
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
WA5814

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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