| Dental 365 | |
|
440 Montauk Highway West Islip NY 11795 | |
| (631) 422-4000 | |
| Not Available |
| Full Name | Dental 365 |
|---|---|
| Speciality | Dentist |
| Location | 440 Montauk Highway, West Islip, New York |
| Authorized Official Name and Position | Hiro Soriano (CIO) |
| Authorized Official Contact | 6314224000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 365 593 Merrick Rd Lynbrook NY 11563-2349 Ph: (631) 422-4000 | Dental 365 440 Montauk Highway West Islip NY 11795 Ph: (631) 422-4000 |
| NPI Number | 1841656030 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841656030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 038460 (New York) | Primary |
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