Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | D3966 | FL |
NPI | 1053653907 |
---|---|
Provider Name | Dr. Lawrence J. Kessler |
First Address | Miami, FL 33156-3171 |
Second Address | Miami, FL 33156-7790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2013 |
Last Update Date | 25/08/2016 |