Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd | |
175 Jericho Turnpike Suite 307a Syosset NY 11791 | |
(516) 921-4141 | |
(316) 921-4148 |
Full Name | Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd |
---|---|
Speciality | Dentist - General Practice |
Location | 175 Jericho Turnpike, Syosset, New York |
Authorized Official Name and Position | Celestino Marques Dos Santos (OWNER DENTIST) |
Authorized Official Contact | 5169214141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd 175 Jericho Turnpike Suite 307a Syosset NY 11791 Ph: (516) 921-4141 | Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd 175 Jericho Turnpike Suite 307a Syosset NY 11791 Ph: (516) 921-4141 |
NPI Number | 1194821454 |
---|---|
Provider Enumeration Date | 09/15/2006 |
Last Update Date | 04/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194821454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 029628 (New York) | Secondary |
1223G0001X | Dentist - General Practice | 048052 (New York) | Primary |
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