Provider Demographics
NPI:1588878417
Name:WOLINSKY, LAWRENCE EVAN (PHD, DMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:EVAN
Last Name:WOLINSKY
Suffix:
Gender:M
Credentials:PHD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 E CHAPEL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4576
Mailing Address - Country:US
Mailing Address - Phone:805-928-0340
Mailing Address - Fax:805-928-7580
Practice Address - Street 1:730 E CHAPEL ST
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4576
Practice Address - Country:US
Practice Address - Phone:805-928-0340
Practice Address - Fax:805-928-7580
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300231223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics