| Lj Professional Dental Pc | |
|
600 W 146th St New York NY 10031-4301 | |
| (212) 368-9532 | |
| (212) 368-2245 |
| Full Name | Lj Professional Dental Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 600 W 146th St, New York, New York |
| Authorized Official Name and Position | Libia Rebeca Jimenez (DDS) |
| Authorized Official Contact | 2123689532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lj Professional Dental Pc 600 W 146th St New York NY 10031-4301 Ph: (212) 368-9532 | Lj Professional Dental Pc 600 W 146th St New York NY 10031-4301 Ph: (212) 368-9532 |
| NPI Number | 1588877591 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588877591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 045307 (New York) | Primary |
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