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1154633295
LAWRENCE L. MAILLOUX
HUNTINGTON, NY
NPI
1154633295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 032904)
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
Dr. LAWRENCE L. MAILLOUX DDS
775 PARK AVE SUITE 135
HUNTINGTON, NY 11743
Phone number: 631-549-3377
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Mailing Address
Dr. LAWRENCE L. MAILLOUX DDS
775 PARK AVE. SUITE 135
HUNTINGTON, NY 11743
Phone number: 631-549-3377
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