Provider Demographics
NPI:1073683389
Name:STRUGALA, LAWRENCE J (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:J
Last Name:STRUGALA
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 1:6849 N ORACLE RD
Mailing Address - Street 2:STE. 115
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4255
Mailing Address - Country:US
Mailing Address - Phone:520-696-0700
Mailing Address - Fax:520-696-0705
Practice Address - Street 1:6849 N ORACLE RD
Practice Address - Street 2:STE. 115
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4255
Practice Address - Country:US
Practice Address - Phone:520-696-0700
Practice Address - Fax:520-696-0705
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010125611223G0001X
AZD79361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice