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1780104653
JOANNE LAC
STATEN ISLAND, NY
NPI
1780104653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
Dr. JOANNE LAC BMSc, DDS
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 226-373-1773
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Mailing Address
Dr. JOANNE LAC BMSc, DDS
40 BOUNDARY AVE FL 2
STATEN ISLAND, NY 10306-5206
Phone number:
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