Laurence, Peter

Laurence, Peter is an individual health care provider with primary practice located at 710 Alton Rd , Miami Beach FL 33139-5504. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Laurence, Peter can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
710 Alton Rd Miami Beach FL 33139-5504
Phone: (305) 538-8835
Fax: (305) 532-5766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6875 Florida

Profile Details

NPI number 1700962065
LBN Legal business name Laurence, Peter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Sep 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700962065 NPPES
Florida MEDICAID 002434700

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