| Dynamic Dentistry Llc | |
|
17515 Jamaica Ave Jamaica NY 11432-5525 | |
| (718) 297-4100 | |
| (718) 297-4104 |
| Full Name | Dynamic Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17515 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Adam Lublin (CO-OWNER) |
| Authorized Official Contact | 7182974100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dentistry Llc 17515 Jamaica Ave Jamaica NY 11432-5525 Ph: (718) 297-4100 | Dynamic Dentistry Llc 17515 Jamaica Ave Jamaica NY 11432-5525 Ph: (718) 297-4100 |
| NPI Number | 1306148127 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306148127 | NPI | - | NPPES |
| 01980661 | Medicaid | NY |
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