Organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Active
Parent organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Other names
Dental Care of Patchogue
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTLE DENTISTRY OF LANCASTER, PLLC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
100 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 907-6058
Mailing address
100 N OCEAN AVE, PATCHOGUE, NY 11772-2004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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