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Individual

MRS. LANA TERENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1908 MOTT AVE, FAR ROCK AWAY, NY 11691-4101
(718) 327-8816
(718) 327-5197
Mailing address
1908 MOTT AVE, FAR ROCK AWAY, NY 11691-4101
(718) 327-8816
(718) 327-5197

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049077
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02110098
NY
01
9176812
DORAL
NY
Enumeration date
03/31/2006
Last updated
04/22/2009
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