Individual
DR. ALAN LLOYD MAZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
140 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 473-0666
(631) 473-0679
Mailing address
15 SANDSTONE LN, STONY BROOK, NY 11790-3101
(631) 689-9598
(631) 473-0679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30090
NY
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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