| Atlantic Ave Dental Care | |
|
96 Atlantic Ave Lynbrook NY 11563-3461 | |
| (516) 792-6952 | |
| (516) 792-6953 |
| Full Name | Atlantic Ave Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 96 Atlantic Ave, Lynbrook, New York |
| Authorized Official Name and Position | Robert B Souferian (PRESIDENT) |
| Authorized Official Contact | 5167926952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Ave Dental Care 96 Atlantic Ave Lynbrook NY 11563-3461 Ph: (516) 792-6952 | Atlantic Ave Dental Care 96 Atlantic Ave Lynbrook NY 11563-3461 Ph: (516) 792-6952 |
| NPI Number | 1467768762 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467768762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050040 (New York) | Primary |
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