Ls Dental PC

NPI #1609044023 in Woodside, New York

Provider Information

NPI Number: 1609044023
Entity Type: Organization
Organization Name: Ls Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 4705 44TH ST APT A2
City: Woodside
State: New York
ZIP Code: 11377-6301
Phone: (718) 752-9000

Authorized Official

Name: DR. LEONID SHIMANOV
Title: DENTIST
Phone: (718) 752-9000

Specialties & Taxonomy Codes

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

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