NPI 1013104736

Lawrence Gaydos, DDS

Practitioner Dental Hygienist Saint Louis, MO

Practice location

Address: 12101 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
Phone: (314) 842-1465
Fax: (314) 842-6964

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

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Registry record

NPI: 1013104736
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2007
Record last updated: 26 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.