Full Name | Dental 365 |
---|---|
Speciality | Dentist |
Location | 217 Portion Rd, Ronkonkoma, New York |
Authorized Official Name and Position | Hiro Soriano (CIO) |
Authorized Official Contact | 6315884860 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental 365 217 Portion Rd Ronkonkoma NY 11779-2341 Ph: (631) 588-4860 | Dental 365 217 Portion Rd Ronkonkoma NY 11779-2341 Ph: (631) 588-4860 |
NPI Number | 1497293336 |
---|---|
Provider Enumeration Date | 02/10/2017 |
Last Update Date | 02/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497293336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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