Freeport Dental , Pc | |
117 W Sunrise Hwy Freeport NY 11520-3614 | |
(516) 665-8931 | |
(516) 665-8933 |
Full Name | Freeport Dental , Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 117 W Sunrise Hwy, Freeport, New York |
Authorized Official Name and Position | Jose Rafael De Leon (PRESIDENT) |
Authorized Official Contact | 5166658931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Freeport Dental , Pc 117 W Sunrise Hwy Freeport NY 11520-3614 Ph: (516) 665-8931 | Freeport Dental , Pc 117 W Sunrise Hwy Freeport NY 11520-3614 Ph: (516) 665-8931 |
NPI Number | 1447422456 |
---|---|
Provider Enumeration Date | 03/31/2008 |
Last Update Date | 03/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447422456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 046096 (New York) | Primary |
News Archive
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