Individual
MR. FITZROY ST LAWRENCE MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
353 OCEAN AVE, APT 1H, BROOKLYN, NY 11226
(718) 282-5128
(718) 703-3469
Mailing address
353 OCEAN AVE, APT 1H, BROOKLYN, NY 11226
(718) 282-5128
(718) 703-3469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39636
NY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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