Organization
MASSAPEQUA PARK DENTAL PLLC
Active
Other names
David A. Lorenzo DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A LORENZO DDS (OWNER DENTIST)
(516) 799-1155
Entity
Organization
Contact information
Practice address
1035 PARK BLVD, SUITE 2A, MASSAPEQUA PARK, NY 11762-2743
(516) 799-1155
(516) 799-4996
Mailing address
1035 PARK BLVD, SUITE 2A, MASSAPEQUA PARK, NY 11762-2743
(516) 799-1155
(516) 799-4996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044473
NY
Other
Enumeration date
10/11/2005
Last updated
08/22/2020
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