Long Island Dental Associated

NPI 1265533996 - Dentist - 122300000X

NPI Details
NPI 1265533996
Enumeration Date 09/26/2006
Last Updated 02/16/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DARRELL DARRELL
Position DENTIST
Phone (516) 483-1215
Fax
Practice Location
380 HEMPSTEAD AVE
WEST HEMPSTEAD NY, 11552-2052, US
Phone (516) 483-1215
Fax
Business Location
380 HEMPSTEAD AVE
WEST HEMPSTEAD NY, 11552-2052, US
Phone (516) 483-1215
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 051059
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According to our database, Long Island Dental Associated NPI is 1265533996, taxonomy code is 122300000X and license number is 051059, license state is located at New York. Long Island Dental Associated physically located at 380 Hempstead Ave, West Hempstead NY, 11552-2052. NPI Number 1033115704 has the healthcare provider type.

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1265533996 NPI number is provided on an as is basis without warranty of any kind. 1265533996 is maintained by the National Plan & Provider Enumeration System. The contents of Long Island Dental Associated are for informational purposes only.