| Lysandra Plotkin, D.m.d Llc | |
|
1151 E Jersey St Elizabeth NJ 07201-2310 | |
| (908) 351-2106 | |
| Not Available |
| Full Name | Lysandra Plotkin, D.m.d Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1151 E Jersey St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Lysandra Jaclyn Plotkin (OWNER) |
| Authorized Official Contact | 9089305644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lysandra Plotkin, D.m.d Llc 1151 E Jersey St Elizabeth NJ 07201-2310 Ph: (908) 351-2106 | Lysandra Plotkin, D.m.d Llc 1151 E Jersey St Elizabeth NJ 07201-2310 Ph: (908) 351-2106 |
| NPI Number | 1063908622 |
|---|---|
| Provider Enumeration Date | 07/06/2018 |
| Last Update Date | 07/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063908622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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