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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