Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 22593 | CA |
NPI | 1063630655 |
---|---|
Provider Name | Dr. Laurence Cree |
First Address | Santa Clarita, CA 91350-2635 |
Second Address | Santa Clarita, CA 91350-2635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2007 |
Last Update Date | 08/07/2007 |