Individual
MR. BRAULIO LAJARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
591 E TREMONT AVE, BRONX, NY 10457-4727
(646) 393-5181
(646) 393-5181
Mailing address
1576 TAYLOR AVE APT 6H, BRONX, NY 10460-3321
(347) 589-2500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063519
NY
Other
Enumeration date
04/26/2022
Last updated
08/01/2024
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