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1558383075
MARK RICHARD LAZAR
DES MOINES, IA
NPI
1558383075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 6030)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- MARK RICHARD LAZAR DDS
6100 SW 9TH ST
DES MOINES, IA 50315
Phone number: 515-287-5400
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Mailing Address
-- MARK RICHARD LAZAR DDS
6100 SW 9TH ST
DES MOINES, IA 50315-5013
Phone number: 515-287-5400
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