Individual
DONNA LINDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2553
(631) 924-8606
Mailing address
225 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2553
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24637
NY
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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