Individual
DR. LAWRENCE IRWIN COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 MAIN ST, HACKENSACK, NJ 07601
(201) 343-3842
(201) 343-9443
Mailing address
228 MAIN ST, HACKENSACK, NJ 07601
(201) 343-3842
(201) 343-9443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D100728300
NJ
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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