| Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd | |
|
175 Jericho Turnpike Suite 307a Syosset NY 11791 | |
| (516) 921-4141 | |
| (316) 921-4148 |
| Full Name | Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 175 Jericho Turnpike, Syosset, New York |
| Authorized Official Name and Position | Celestino Marques Dos Santos (OWNER DENTIST) |
| Authorized Official Contact | 5169214141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd 175 Jericho Turnpike Suite 307a Syosset NY 11791 Ph: (516) 921-4141 | Elliott J Dombroff Dmd & Celestino M Dos Santos Dmd 175 Jericho Turnpike Suite 307a Syosset NY 11791 Ph: (516) 921-4141 |
| NPI Number | 1194821454 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194821454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029628 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 048052 (New York) | Primary |
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