LS DENTAL PC NPI 1609044023

NPI Information

LS DENTAL PC is a general practice dentist in Woodside, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LS DENTAL PC NPI is 1609044023. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ls Dental Pc.

The provider's business location address is:

4705 44TH ST APT A2
WOODSIDE, NY
ZIP 11377-301
Phone: (718) 752-9000
Fax: (718) 440-9460

The provider's authorized official is Leonid Shimanov .
The authorized official title is Dentist and has the following contact phone number (718) 752-9000.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/19/2008.

Taxonomy Codes

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Other Identifiers

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