Jan Wade Gilbert Dmd PC

NPI #1386971968 in Lawrence, New York

Provider Information

NPI Number: 1386971968
Entity Type: Organization
Organization Name: Jan Wade Gilbert Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 176 BROADWAY
City: Lawrence
State: New York
ZIP Code: 11559-1731
Phone: (516) 239-3333

Authorized Official

Name: DR. JAN WADE GILBERT, DMD
Title: OWNER
Phone: (516) 239-3333

Specialties & Taxonomy Codes

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

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