DR. Justin Lieneck, D.M.D., P.A.

NPI #1194012575 in Melbourne, Florida

Provider Information

NPI Number: 1194012575
Entity Type: Individual
Name: DR. Justin Lieneck, D.M.D., P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D., P.A.
Enumeration Date: Jul 6, 2011
Last Updated: Apr 30, 2012

Practice Location

Address: 811 S BABCOCK ST
City: Melbourne
State: Florida
ZIP Code: 32901-1890
Phone: (321) 729-0022

Specialties & Taxonomy Codes

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

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