Provider Demographics
NPI:1649567918
Name:ARMENTANO, LAWRENCE ANTHONY JR (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ANTHONY
Last Name:ARMENTANO
Suffix:JR
Gender:M
Credentials:MD, DDS
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Mailing Address - Street 1:540 BRICKELL KEY DR APT 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2635
Mailing Address - Country:US
Mailing Address - Phone:305-772-2519
Mailing Address - Fax:
Practice Address - Street 1:9380 SW 150TH ST STE 170
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7956
Practice Address - Country:US
Practice Address - Phone:305-256-5270
Practice Address - Fax:305-256-5280
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2023-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME1052711223S0112X
FLME 105271204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery