| Deleon Dental Office | |
|
155 E Merrick Rd Valley Stream NY 11580-5925 | |
| (516) 341-7088 | |
| Not Available |
| Full Name | Deleon Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 155 E Merrick Rd, Valley Stream, New York |
| Authorized Official Name and Position | Jose Rafael De Leon (PRESIDENT) |
| Authorized Official Contact | 3474435633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deleon Dental Office 60 E Carpenter St Valley Stream NY 11580-4404 Ph: (516) 561-9459 | Deleon Dental Office 155 E Merrick Rd Valley Stream NY 11580-5925 Ph: (516) 341-7088 |
| NPI Number | 1316343346 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316343346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046096 (New York) | Primary |
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