| Lake Grove Dentistry Pc | |
|
1014 Hawkins Ave Lake Grove NY 11755-1600 | |
| (631) 467-7878 | |
| Not Available |
| Full Name | Lake Grove Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 1014 Hawkins Ave, Lake Grove, New York |
| Authorized Official Name and Position | Meena Shah (OWNER) |
| Authorized Official Contact | 6314677878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Grove Dentistry Pc 1014 Hawkins Ave Lake Grove NY 11755-1600 Ph: (631) 467-7878 | Lake Grove Dentistry Pc 1014 Hawkins Ave Lake Grove NY 11755-1600 Ph: (631) 467-7878 |
| NPI Number | 1174075519 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174075519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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