| Lawrence M Kotler Dds Ms | |
|
3543 West Braddock Rd Suite E1 Brad Lee Office Building Alexandria VA 22301-1903 | |
| (703) 931-6600 | |
| (703) 931-4594 |
| Full Name | Lawrence M Kotler Dds Ms |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3543 West Braddock Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Lawrence Mark Kotler (OWNER) |
| Authorized Official Contact | 7039316600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence M Kotler Dds Ms 3543 West Braddock Rd Suite E1 Brad Lee Office Building Alexandria VA 22301-1903 Ph: (703) 931-6600 | Lawrence M Kotler Dds Ms 3543 West Braddock Rd Suite E1 Brad Lee Office Building Alexandria VA 22301-1903 Ph: (703) 931-6600 |
| NPI Number | 1477746659 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477746659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401004446 (Virginia) | Primary |
| 1223E0200X | Dentist - Endodontics | 0401006677 (Virginia) | Secondary |
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