Organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Active
Parent organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Other names
Arch Dental of Garden City
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTLE DENTISTRY OF LANCASTER, PLLC
Authorized official
KIM WILSON (CRED. SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 206, GARDEN CITY, NY 11530-4893
(210) 293-0696
(210) 520-3424
Mailing address
901 STEWART AVE, SUITE 206, GARDEN CITY, NY 11530-4893
(210) 293-0696
(210) 520-3424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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