| Samuel R Lasris DDS | |
|
395 S Main St Danville VA 24541-2925 | |
| (434) 797-2357 | |
| (434) 797-3596 |
| Full Name | Samuel R Lasris DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 395 S Main St, Danville, Virginia |
| Authorized Official Name and Position | Vicki B Harrelson (OFFICE RECEPTIONIST) |
| Authorized Official Contact | 4347072357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel R Lasris DDS 395 South Main Street Danville VA 24541 Ph: (434) 797-2357 | Samuel R Lasris DDS 395 S Main St Danville VA 24541-2925 Ph: (434) 797-2357 |
| NPI Number | 1649555681 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649555681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412538 (Virginia) | Primary |
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