Organization
CHILMARK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETTA JOYCE LOBEL DMD (DENTIST)
(914) 941-2200
Entity
Organization
Contact information
Practice address
15 PLEASANTVILLE RD, OSSINING, NY 10562
(914) 941-2200
(914) 941-5174
Mailing address
15 PLEASANTVILLE RD, OSSINING, NY 10562
(914) 941-2200
(914) 941-5174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0399661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005196
—
NY
Enumeration date
10/28/2005
Last updated
08/22/2020
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