Lucky Dental PC

NPI #1821225822 in Rego Park, New York

Provider Information

NPI Number: 1821225822
Entity Type: Organization
Organization Name: Lucky Dental PC
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2009
Last Updated: Jun 17, 2009

Practice Location

Address: 6555 WOODHAVEN BLVD
City: Rego Park
State: New York
ZIP Code: 11374-5048
Phone: (917) 834-2219

Authorized Official

Name: DR. ALEKSANDR AZBEL, D.D.S
Title: OWNER
Phone: (917) 834-2219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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