Provider Demographics
NPI:1114097904
Name:STINCER, ESTHER LEWKOWICZ (DMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:LEWKOWICZ
Last Name:STINCER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:LEWKOWICZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:17859 NW 15 COURT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3070
Mailing Address - Country:US
Mailing Address - Phone:954-433-8020
Mailing Address - Fax:
Practice Address - Street 1:665 MOKENA DRIVE #107
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-6181
Practice Address - Country:US
Practice Address - Phone:305-885-9721
Practice Address - Fax:305-885-9722
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist