Individual
DR. MARK JEFFREY LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
117 MAIN ST, SOUTH RIVER, NJ 08882-1231
(732) 254-2347
(732) 257-2638
Mailing address
117 MAIN ST, SOUTH RIVER, NJ 08882
(732) 254-2347
(732) 257-2638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI017114000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4624301
—
NJ
Enumeration date
07/20/2006
Last updated
07/08/2007
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