| Freeport Dental , Pc | |
|
117 W Sunrise Hwy Freeport NY 11520-3614 | |
| (516) 665-8931 | |
| (516) 665-8933 |
| Full Name | Freeport Dental , Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 W Sunrise Hwy, Freeport, New York |
| Authorized Official Name and Position | Jose Rafael De Leon (PRESIDENT) |
| Authorized Official Contact | 5166658931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeport Dental , Pc 117 W Sunrise Hwy Freeport NY 11520-3614 Ph: (516) 665-8931 | Freeport Dental , Pc 117 W Sunrise Hwy Freeport NY 11520-3614 Ph: (516) 665-8931 |
| NPI Number | 1447422456 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447422456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046096 (New York) | Primary |
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