| Eric J. Lavid, Dds, Llc | |
|
613 W Conway St Ste 101 Raymore MO 64083-7301 | |
| (816) 331-1144 | |
| (816) 322-2271 |
| Full Name | Eric J. Lavid, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 613 W Conway St Ste 101, Raymore, Missouri |
| Authorized Official Name and Position | Joy Lavid (DENTIST) |
| Authorized Official Contact | 8163311144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J. Lavid, Dds, Llc 613 W Conway St Ste 101 Raymore MO 64083-7301 Ph: (816) 331-1144 | Eric J. Lavid, Dds, Llc 613 W Conway St Ste 101 Raymore MO 64083-7301 Ph: (816) 331-1144 |
| NPI Number | 1134477250 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134477250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016088 (Missouri) | Primary |
| 122300000X | Dentist | 016137 (Missouri) | Secondary |
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