| John A Lazarus Dds Ms Pc | |
|
4250 Pontiac Lake Rd Suite A Waterford MI 48328-1281 | |
| (248) 674-3136 | |
| (248) 674-3138 |
| Full Name | John A Lazarus Dds Ms Pc |
|---|---|
| Speciality | Dentist |
| Location | 4250 Pontiac Lake Rd, Waterford, Michigan |
| Authorized Official Name and Position | John A Lazarus (PRESIDENT OWNER) |
| Authorized Official Contact | 2486743136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Lazarus Dds Ms Pc 4250 Pontiac Lake Rd Suite A Waterford MI 48328-1281 Ph: (248) 674-3136 | John A Lazarus Dds Ms Pc 4250 Pontiac Lake Rd Suite A Waterford MI 48328-1281 Ph: (248) 674-3136 |
| NPI Number | 1568631489 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568631489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901009548 (Michigan) | Primary |
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