Individual
LAWRENCE MARK KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
665 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 386-2324
Mailing address
665 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 386-2324
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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