Massapequa Park Dental Pllc

NPI #1073501391 in Massapequa Park, New York

Provider Information

NPI Number: 1073501391
Entity Type: Organization
Organization Name: Massapequa Park Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 11, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1035 PARK BLVD
Address 2: SUITE 2A
City: Massapequa Park
State: New York
ZIP Code: 11762-2743
Phone: (516) 799-1155

Authorized Official

Name: DAVID A LORENZO, DDS
Title: OWNER DENTIST
Phone: (516) 799-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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