Individual
DR. GREGORY JOHN LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1004 WESTERN AVE, ALBANY, NY 12203-2743
(518) 489-8377
Mailing address
1004 WESTERN AVE, ALBANY, NY 12203-2743
(518) 489-8377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047639-1
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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