Individual
DR. LISL I KAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3579 MERRICK RD, SENFORD, NY 11783
(516) 721-2063
(516) 221-2018
Mailing address
3579 MERRICK RD, SENFORD, NY 11783
(516) 721-2063
(516) 221-2018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20737
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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