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Individual
LAWRENCE MARK KERN
Active
Individual
LAWRENCE MARK KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14214
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47129
UNITED CONCORDIA
NJ
01
—
8082
DELTA DENTAL OF NJ
NJ
Enumeration date
07/26/2006
Last updated
07/08/2007
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