L B Dental P. C.
Clinic/Center, Dental in Port Chester, NY. Organization (NPI-2).
NPI number1154765337
StatusActive
Last updated in NPPESApr 18, 2013
Details
- NPI
- 1154765337
- Entity type
- Organization (NPI-2)
- Legal business name
- L B Dental P. C.
- Organization subpart
- No
- Enumeration date
- Apr 18, 2013
- Last updated
- Apr 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
220 Westchester Ave1st Floor
Port Chester, NY 10573-4557
Phone 914-935-0588 · Fax 914-935-0445
Mailing address
220 Westchester Ave1st Floor
Port Chester, NY 10573-4557
Phone 914-935-0588 · Fax 914-935-0445
Authorized official
Luis A. Blanco
Owner
9149350588
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