Wisdom Tooth Of Lindenhurst

NPI 1013184605 - Dentist - 122300000X

NPI Details
NPI 1013184605
Enumeration Date 05/13/2008
Last Updated 05/13/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL H MICHAEL
Position OWNER
Phone (631) 225-1900
Fax (631) 225-1904
Practice Location
600D N WELLWOOD AVE
LINDENHURST NY, 11757, US
Phone (631) 225-1900
Fax (631) 225-1904
Business Location
600D N WELLWOOD AVE
LINDENHURST NY, 11757, US
Phone (631) 225-1900
Fax (631) 225-1904
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 035654
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According to our database, Wisdom Tooth Of Lindenhurst NPI is 1013184605, taxonomy code is 122300000X and license number is 035654, license state is located at New York. Wisdom Tooth Of Lindenhurst physically located at 600d N Wellwood Ave, Lindenhurst NY, 11757. NPI Number 1033115704 has the healthcare provider type.

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1013184605 NPI number is provided on an as is basis without warranty of any kind. 1013184605 is maintained by the National Plan & Provider Enumeration System. The contents of Wisdom Tooth Of Lindenhurst are for informational purposes only.