Individual
DR. LAWRENCE TANNOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 BRIGHAM ST, BROOKLYN, NY 11229-5511
(718) 648-6543
(718) 648-9386
Mailing address
2301 BRIGHAM ST, BROOKLYN, NY 11229-5511
(718) 646-6543
(718) 648-9386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36824
LICENSE
NY
Enumeration date
10/31/2005
Last updated
07/08/2007
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