Organization
HEALTHY TEETH DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER LEZHANSKY DDS (PRESIDENT)
(718) 615-2272
Entity
Organization
Contact information
Practice address
3060 OCEAN AVE, SUITE LN, BROOKLYN, NY 11235-3310
(718) 615-2272
Mailing address
3060 OCEAN AVE, SUIT LN, BROOKLYN, NY 11235-3310
(718) 615-2272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662999
—
NY
Enumeration date
04/28/2012
Last updated
04/28/2012
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