Individual
DR. JONATHAN S. LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
185 PASSAIC AVE, UNIT 5, PASSAIC, NJ 07055-4726
(973) 981-5269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053930
NY
Other
Enumeration date
07/03/2007
Last updated
04/23/2015
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