P.d.m Family Dental, P.c. | |
295 N Broadway Jericho NY 11753 | |
(516) 388-5002 | |
Not Available |
Full Name | P.d.m Family Dental, P.c. |
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Speciality | Dentist - General Practice |
Location | 295 N Broadway, Jericho, New York |
Authorized Official Name and Position | Parul Dua Makkar (PRESIDENT) |
Authorized Official Contact | 5165921555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.d.m Family Dental, P.c. 17 Talon Way Dix Hills NY 11746 Ph: (516) 388-5002 | P.d.m Family Dental, P.c. 295 N Broadway Jericho NY 11753 Ph: (516) 388-5002 |
NPI Number | 1225545718 |
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Provider Enumeration Date | 01/05/2018 |
Last Update Date | 07/31/2018 |
Identifier | Type | State | Issuer |
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1225545718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 053657 (New York) | Primary |
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