| 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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