Organization
LAKES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIA HERSINI DMD (CEO)
(914) 261-1650
Entity
Organization
Contact information
Practice address
270 LAKE ST STE 5, PENN YAN, NY 14527-1832
(315) 694-7901
(315) 694-7172
Mailing address
270 LAKE ST STE 5, PENN YAN, NY 14527-1832
(315) 694-7901
(315) 694-7172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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