Individual
LAUREN FAFALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7621 18TH AVE, BROOKLYN, NY 11214-1107
(718) 256-5512
Mailing address
7621 18TH AVE, BROOKLYN, NY 11214-1107
(718) 256-5512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062167
NY
Other
Enumeration date
03/03/2020
Last updated
07/01/2024
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