Organization
LINCOLN FAMILY DENTAL, PLLC
Active
Other names
Lincoln Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WEISS (PRESIDENT)
(516) 849-3062
Entity
Organization
Contact information
Practice address
13114 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 322-9022
(718) 322-4220
Mailing address
13114 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 322-9022
(718) 322-4220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043555
NY
Other
Enumeration date
11/25/2013
Last updated
08/28/2014
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