| Bay Shore Family Dental | |
|
1745 Union Blvd Bay Shore NY 11706-7952 | |
| (631) 968-5995 | |
| (631) 968-5996 |
| Full Name | Bay Shore Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1745 Union Blvd, Bay Shore, New York |
| Authorized Official Name and Position | Kourosh Yaghoubian (V.P.) |
| Authorized Official Contact | 6319685995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Shore Family Dental 1745 Union Blvd Bay Shore NY 11706-7952 Ph: (631) 968-5995 | Bay Shore Family Dental 1745 Union Blvd Bay Shore NY 11706-7952 Ph: (631) 968-5995 |
| NPI Number | 1114100062 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114100062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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