| Rss Lawrence Emmott Llc | |
|
1912 E Medlock Dr Phoenix AZ 85016-4127 | |
| (866) 500-4985 | |
| Not Available |
| Full Name | Rss Lawrence Emmott Llc |
|---|---|
| Speciality | Dentist |
| Location | 1912 E Medlock Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Lawrence Emmott (OWNER) |
| Authorized Official Contact | 8665004985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rss Lawrence Emmott Llc 1050 Texan Trl Ste 300 Grapevine TX 76051-3759 Ph: () - | Rss Lawrence Emmott Llc 1912 E Medlock Dr Phoenix AZ 85016-4127 Ph: (866) 500-4985 |
| NPI Number | 1275043473 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275043473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DO2275 (Arizona) | Primary |
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