| NPI | 1609044023 |
|---|---|
| Doing Business As | LS DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | LEONID SHIMANOV Dentist 718-752-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048978-1) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |