DR. Gary Mark Lazaroff, DMD

NPI #1720101959 in Providence, Rhode Island

Provider Information

NPI Number: 1720101959
Entity Type: Individual
Name: DR. Gary Mark Lazaroff, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: DMD
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 257 WAYLAND AVENUE
City: Providence
State: Rhode Island
ZIP Code: 02906
Phone: (401) 272-1380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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