Lindenhurst Station Dental | |
152 N Wellwood Ave Ste 6 Lindenhurst NY 11757-4002 | |
(631) 226-1155 | |
Not Available |
Full Name | Lindenhurst Station Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 152 N Wellwood Ave Ste 6, Lindenhurst, New York |
Authorized Official Name and Position | Sean Shin Kim (OWNER) |
Authorized Official Contact | 6312261155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lindenhurst Station Dental 152 N Wellwood Ave Ste 6 Lindenhurst NY 11757-4002 Ph: (631) 226-1155 | Lindenhurst Station Dental 152 N Wellwood Ave Ste 6 Lindenhurst NY 11757-4002 Ph: (631) 226-1155 |
NPI Number | 1467962803 |
---|---|
Provider Enumeration Date | 10/11/2017 |
Last Update Date | 10/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467962803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 056133 (New York) | Primary |
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