Individual
ALEXANDER LEBEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
9330 QUEENS BLVD, REGO PARK, NY 11374-1135
(718) 897-5900
(718) 897-6331
Mailing address
9330 QUEENS BLVD, REGO PARK, NY 11374-1135
(718) 897-5900
(718) 897-6331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0034020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00395253
—
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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