Lakewood Pediatric Dentistry Pllc

NPI #1417499500 in Lakewood, New York

Provider Information

NPI Number
1417499500
Entity Type
Organization
Organization Name
Lakewood Pediatric Dentistry Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 7, 2016
Last Updated
Nov 7, 2016

Practice Location

Address
133 E FAIRMOUNT AVE STE 1
ZIP Code
14750-1950
Phone
(716) 763-0130

Authorized Official

Name
DR. JAN CARLSON, DDS
Title
OWNER/DENTIST
Phone
(716) 763-0130

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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