Individual
DR. ERIC LUBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2701 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2117
(631) 588-8401
Mailing address
2701 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2117
(631) 588-8401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032528
NY
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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