Individual
DR. LARA MIKHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2388 23RD ST APT 3, ASTORIA, NY 11105-3411
(631) 835-0569
Mailing address
2388 23RD ST APT 3, ASTORIA, NY 11105-3411
(631) 835-0569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054016
NY
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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