Massapequa Park Dental Pllc

NPI 1073501391 - Dentist - 122300000X

NPI Details
NPI 1073501391
Enumeration Date 10/11/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID A DAVID
Position OWNER DENTIST
Phone (516) 799-1155
Fax (516) 799-4996
Practice Location
1035 PARK BLVD
SUITE 2A
MASSAPEQUA PARK NY, 11762-2743, US
Phone (516) 799-1155
Fax (516) 799-4996
Business Location
1035 PARK BLVD
SUITE 2A
MASSAPEQUA PARK NY, 11762-2743, US
Phone (516) 799-1155
Fax (516) 799-4996
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 044473
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According to our database, Massapequa Park Dental Pllc NPI is 1073501391, taxonomy code is 122300000X and license number is 044473, license state is located at New York. Massapequa Park Dental Pllc physically located at 1035 Park Blvd, Massapequa Park NY, 11762-2743. NPI Number 1033115704 has the healthcare provider type.

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1073501391 NPI number is provided on an as is basis without warranty of any kind. 1073501391 is maintained by the National Plan & Provider Enumeration System. The contents of Massapequa Park Dental Pllc are for informational purposes only.