A-gold Coast Family Dental | |
2 Cow Neck Rd Port Washington NY 11050-1712 | |
(516) 883-8810 | |
Not Available |
Full Name | A-gold Coast Family Dental |
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Speciality | Dentist |
Location | 2 Cow Neck Rd, Port Washington, New York |
Authorized Official Name and Position | Doron Keren (PRESIDENT) |
Authorized Official Contact | 5168838810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A-gold Coast Family Dental 2 Cow Neck Rd Port Washington NY 11050-1712 Ph: (516) 883-8810 | A-gold Coast Family Dental 2 Cow Neck Rd Port Washington NY 11050-1712 Ph: (516) 883-8810 |
NPI Number | 1174705768 |
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Provider Enumeration Date | 12/05/2007 |
Last Update Date | 12/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174705768 | NPI | - | NPPES |
02241743 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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