Provider Demographics
NPI:1700882974
Name:PERKINS, LAWRENCE FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:FRANKLIN
Last Name:PERKINS
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 1:837 S FAIR OAKS AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2646
Mailing Address - Country:US
Mailing Address - Phone:626-793-2107
Mailing Address - Fax:626-795-7107
Practice Address - Street 1:837 S FAIR OAKS AVE
Practice Address - Street 2:STE 203
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2646
Practice Address - Country:US
Practice Address - Phone:626-793-2107
Practice Address - Fax:626-795-7107
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA234201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice