Individual
DR. LORRELEI ANN PAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
611 NORTHERN BLVD, SUITE 100, GREAT NECK, NY 11021-5207
(516) 487-5500
Mailing address
611 NORTHERN BLVD, SUITE 100, GREAT NECK, NY 11021-5207
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056146-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2011
Last updated
12/12/2012
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