Individual
DR. LAWRENCE ALAN KOTLOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 FULLER RD, ALBANY, NY 12203-3647
(518) 489-2571
(518) 489-0075
Mailing address
340 FULLER RD, ALBANY, NY 12203-3647
(518) 489-2571
(518) 489-0075
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0029533
NY
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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