John a Lazarus DDS Ms PC

NPI #1568631489 in Waterford, Michigan

Provider Information

NPI Number: 1568631489
Entity Type: Organization
Organization Name: John a Lazarus DDS Ms PC
Primary Specialty: Dentist
Enumeration Date: Feb 25, 2008
Last Updated: Feb 25, 2008

Practice Location

Address: 4250 PONTIAC LAKE RD
Address 2: SUITE A
City: Waterford
State: Michigan
ZIP Code: 48328-1281
Phone: (248) 674-3136

Authorized Official

Name: DR. JOHN A LAZARUS, DDS MS
Title: PRESIDENT OWNER
Phone: (248) 674-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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