DR. Jay Lackman, DMD
NPI #1437366457 in Bala Cynwyd, Pennsylvania
Provider Information
- NPI Number
- 1437366457
- Entity Type
- Individual
- Name
- DR. Jay Lackman, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 200 MONUMENT ROAD
- Address 2
- SUITE #4
- City
- Bala Cynwyd
- State
- Pennsylvania
- ZIP Code
- 19004-1726
- Phone
- (610) 667-7405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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