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NPI Code Detail

MEDICARE: DR. ANDREW MARC LASKY D.D.S.

MEDICARE: DR. ANDREW MARC LASKY D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDEN3418DC

General Provider Information

NPI Number : 1386647386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW MARC LASKY D.D.S.
Provider Business Mailing Address
First Line : 1325 18TH ST NW
Second Line : STE 201
City : WASHINGTON
State : DC
Zip : 20036-6501
Country : US
Telephone Number : 202-463-6148
Fax Number : 202-887-5173
Provider Business Practice Location Address
First Line : 1325 18TH ST NW
Second Line : STE 201
City : WASHINGTON
State : DC
Zip : 20036-6501
Country : US
Telephone Number : 202-463-6148
Fax Number : 202-887-5173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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