NPIRadar

Jamie Lazin, DMD, MS, MSD Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN

NPI
1043661028
Type
Individual (Type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
12012549A (IN)
Sex
Male
Sole proprietor
Yes
Enumerated
2016-06-30
Last updated
2016-06-30
Practice location
11 E 58th St
Indianapolis, IN 46220-2519
(404) 931-1576

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