Provider Demographics
NPI:1376691527
Name:LAFKOWITZ, PAUL MILFORD (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MILFORD
Last Name:LAFKOWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STATE ROUTE 27
Mailing Address - Street 2:SUITE 6
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3962
Mailing Address - Country:US
Mailing Address - Phone:732-549-2340
Mailing Address - Fax:
Practice Address - Street 1:1 STATE ROUTE 27
Practice Address - Street 2:SUITE 6
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3962
Practice Address - Country:US
Practice Address - Phone:732-549-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 010115001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics