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1043417991
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.
NEW HYDE PARK, NY
NPI
1043417991
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Entity Type
Organization
Authorized Contact
MICHAEL SHRECK
President
516-775-3737
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NY 039925)
Enumeration Date
2007-07-02
Last Update Date
2016-07-13
Business Address
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.
1300 UNION TPKE SUITE 201
NEW HYDE PARK, NY 11040-1759
Phone number: 516-775-3737
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Mailing Address
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.
1300 UNION TPKE SUITE 201
NEW HYDE PARK, NY 11040-1759
Phone number: 516-775-3737
Copy
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