Organization
JAN WADE GILBERT DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN WADE GILBERT DMD (OWNER)
(516) 239-3333
Entity
Organization
Contact information
Practice address
176 BROADWAY, LAWRENCE, NY 11559-1731
(516) 239-3333
Mailing address
176 BROADWAY, LAWRENCE, NY 11559-1731
(516) 239-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029102
NY
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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