Larry S Fasman, DDS

NPI #1972628840 in Croton On Hudson, New York

Provider Information

NPI Number: 1972628840
Entity Type: Individual
Name: Larry S Fasman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 321 SOUTH RIVERSIDE AVE
City: Croton On Hudson
State: New York
ZIP Code: 10520
Phone: (914) 271-4847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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