Provider Demographics
NPI:1063630655
Name:CREE, LAURENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:
Last Name:CREE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23005 SOLEDAD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2635
Mailing Address - Country:US
Mailing Address - Phone:661-254-3777
Mailing Address - Fax:661-254-2267
Practice Address - Street 1:23005 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2635
Practice Address - Country:US
Practice Address - Phone:661-254-3777
Practice Address - Fax:661-254-2267
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225931223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics