| NPI | 1316541303 |
|---|---|
| Doing Business As | LINDENHURST VILLAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA SANDMAN Dir Of Operations 631-413-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |