Provider Demographics
NPI:1316956469
Name:MARKS, LAWRENCE HAROLD (DMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:HAROLD
Last Name:MARKS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 N 37TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2518
Mailing Address - Country:US
Mailing Address - Phone:954-981-9271
Mailing Address - Fax:
Practice Address - Street 1:1825 NE 45TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5117
Practice Address - Country:US
Practice Address - Phone:954-776-9025
Practice Address - Fax:954-772-4980
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00118371223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics