LAURANCE JERROLD

WOODBURY, NY
NPI1043641772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  032081)
Enumeration Date2013-12-05
Last Update Date2021-11-30
Business Address
LAURANCE JERROLD D.D.S.
96 ASPEN DRIVE EAST
WOODBURY, NY 11797
Phone number: 904-710-5125
Mailing Address
LAURANCE JERROLD D.D.S.
96 ASPEN DRIVE EAST
WOODBURY, NY 11797
Phone number: 904-710-5125