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NPI Code Detail

MEDICARE: LAWRENCE SKLAR DDS

MEDICARE: LAWRENCE SKLAR DDS
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
11223G0001XGeneral Practice Dentistry2901014139MI

General Provider Information

NPI Number : 1720113426
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE SKLAR DDS
Provider Business Mailing Address
First Line : 27281 W WARREN ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1804
Country : US
Telephone Number : 313-274-4040
Fax Number : 313-274-8080
Provider Business Practice Location Address
First Line : 27281 W WARREN ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1804
Country : US
Telephone Number : 313-274-4040
Fax Number : 313-274-8080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ LAWRENCE SKLAR DDS” Practice Location

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