Individual
LISA B VALINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
213-05 UNION TURNPIKE, FLUSHING, NY 11364-3593
(718) 464-0768
(718) 217-5240
Mailing address
213-05 UNION TURNPIKE, FLUSHING, NY 11364-3593
(718) 464-0768
(718) 217-5240
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044600-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744201
—
NY
Enumeration date
09/22/2006
Last updated
07/08/2007
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