Individual
DR. LANS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
528 BERGEN ST, SUITE 2A, BROOKLYN, NY 11217-2407
(510) 396-9193
Mailing address
528 BERGEN ST, SUITE 2A, BROOKLYN, NY 11217-2407
(510) 396-9193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055278
NY
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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