Individual
DR. ELLIOT MARK LORBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
507 DEKALB AVE, BROOKLYN, NY 11205-4816
(718) 708-5559
Mailing address
1359 49TH ST, BROOKLYN, NY 11219-3110
(718) 435-1705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
052840
NY
1223G0001X
General Practice Dentistry
Primary
052840
NY
Other
Enumeration date
10/28/2008
Last updated
12/30/2013
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