DR. Charles Lipenholtz, D.D.S.

NPI #1164637989 in Deer Park, New York

Provider Information

NPI Number: 1164637989
Entity Type: Individual
Name: DR. Charles Lipenholtz, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1919 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-3396
Phone: (631) 667-8630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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