Organization
LCO DENTAL USQ, PC
Active
Organization
LCO DENTAL USQ, PC
Active
Other names
Beam St.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS CHEN DDS (PRACTICE PARTNER)
(917) 513-6419
Entity
Organization
Contact information
Practice address
3 W 13TH ST # CU1, NEW YORK, NY 10011-7969
(917) 513-6419
Mailing address
PO BOX 1238, FORT LEE, NJ 07024-1238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/17/2019
Last updated
02/10/2020
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