Individual
DAVID LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
925 E HENRIETTA RD, ROCHESTER, NY 14623-1409
(585) 424-6400
Mailing address
56 OAK LN, ROCHESTER, NY 14610-3135
(331) 223-4683
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060179-1
NY
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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