Provider Demographics
NPI:1679668495
Name:LAVALLA, FRANCIS N (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:N
Last Name:LAVALLA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 CHELSEA CIR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6475
Mailing Address - Country:US
Mailing Address - Phone:610-431-6779
Mailing Address - Fax:
Practice Address - Street 1:4683 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2228
Practice Address - Country:US
Practice Address - Phone:610-353-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-026068-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist