Lake Success Periodontics and Implants P.c.
NPI #1043417991 in New Hyde Park, New York
Provider Information
- NPI Number
- 1043417991
- Entity Type
- Organization
- Organization Name
- Lake Success Periodontics and Implants P.c.
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 2, 2007
- Last Updated
- Jul 13, 2016
Practice Location
- Address
- 1300 UNION TPKE
- Address 2
- SUITE 201
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040-1759
- Phone
- (516) 775-3737
Authorized Official
- Name
- DR. MICHAEL SHRECK
- Title
- PRESIDENT
- Phone
- (516) 775-3737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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