Organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Active
Parent organization
HEARTLAND DENTAL
Other names
Smile Design Dental Spa
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
39 SMITH AVE, MOUNT KISCO, NY 10549-2838
(914) 502-4011
Mailing address
39 SMITH AVE, MOUNT KISCO, NY 10549-2838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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