Lakeville Dental | |
1 Hollow Ln Suite 108 New Hyde Park NY 11042-1220 | |
(516) 869-3400 | |
(516) 869-3403 |
Full Name | Lakeville Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1 Hollow Ln, New Hyde Park, New York |
Authorized Official Name and Position | Demetrius Filoukatjis (MEMBER) |
Authorized Official Contact | 5168693400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeville Dental 1 Hollow Ln Suite 108 New Hyde Park NY 11042-1220 Ph: (516) 869-3400 | Lakeville Dental 1 Hollow Ln Suite 108 New Hyde Park NY 11042-1220 Ph: (516) 869-3400 |
NPI Number | 1699147447 |
---|---|
Provider Enumeration Date | 10/20/2015 |
Last Update Date | 10/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699147447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 055517 (New York) | Primary |
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