Organization
LINCOLN DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LORBER DDS (OWNER)
(718) 322-9022
Entity
Organization
Contact information
Practice address
13114 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 322-9022
(718) 322-4220
Mailing address
13114 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2932
(718) 322-9022
(718) 322-4220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
046409
NY
122300000X
Dentist
Primary
047347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01912481
—
NY
05
—
01951528
—
NY
Enumeration date
01/11/2006
Last updated
07/17/2013
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