Individual
DR. LYNN LOGAN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
160 E 116TH ST, 2ND FLOOR, NEW YORK, NY 10029-1395
(212) 360-6020
(212) 360-6021
Mailing address
241 E 86TH ST, APT 7B, NEW YORK, NY 10028-3622
(973) 699-6494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052748
NY
122300000X
Dentist
22D102345900
NJ
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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