Family Dental Care Of Massapequa P.c. | |
549 Broadway Ste 102 Massapequa NY 11758-5012 | |
(516) 541-7600 | |
(516) 541-7607 |
Full Name | Family Dental Care Of Massapequa P.c. |
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Speciality | Clinic/center - Dental |
Location | 549 Broadway Ste 102, Massapequa, New York |
Authorized Official Name and Position | Kimberly Carstens (PRESIDENT) |
Authorized Official Contact | 5165417600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Care Of Massapequa P.c. 549 Broadway Ste 102 Massapequa NY 11758-5012 Ph: (516) 541-7600 | Family Dental Care Of Massapequa P.c. 549 Broadway Ste 102 Massapequa NY 11758-5012 Ph: (516) 541-7600 |
NPI Number | 1053189555 |
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Provider Enumeration Date | 12/13/2023 |
Last Update Date | 12/13/2023 |
Identifier | Type | State | Issuer |
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1053189555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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