| Juana E Luster Dds Pc | |
|
1376 East 15 St Bklyn NY 11230 | |
| (718) 339-3358 | |
| (718) 339-3358 |
| Full Name | Juana E Luster Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1376 East 15 St, Bklyn, New York |
| Authorized Official Name and Position | Juana E Luster (OWNER) |
| Authorized Official Contact | 7183393358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juana E Luster Dds Pc 1376 East 15 St Bklyn NY 11230 Ph: (718) 339-3358 | Juana E Luster Dds Pc 1376 East 15 St Bklyn NY 11230 Ph: (718) 339-3358 |
| NPI Number | 1750558060 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750558060 | NPI | - | NPPES |
| 01668482 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0462051 (New York) | Primary |
Dr. Nelson Perez Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 20th Ave, Bklyn, NY 11214 Phone: 718-372-0478 Fax: 718-372-0932 |