Lakeville Dental Group. P.c. | |
1 Hollow Ln Suite 108 New Hyde Park NY 11042-1215 | |
(516) 869-3400 | |
(516) 869-3403 |
Full Name | Lakeville Dental Group. P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1 Hollow Ln, New Hyde Park, New York |
Authorized Official Name and Position | Kenneth Micheal Devita (SENIOR PARTNER) |
Authorized Official Contact | 5168693400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeville Dental Group. P.c. 1 Hollow Ln Suite 108 New Hyde Park NY 11042-1215 Ph: (516) 869-3400 | Lakeville Dental Group. P.c. 1 Hollow Ln Suite 108 New Hyde Park NY 11042-1215 Ph: (516) 869-3400 |
NPI Number | 1568608248 |
---|---|
Provider Enumeration Date | 12/30/2008 |
Last Update Date | 12/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568608248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 031697 (New York) | Primary |
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