| South Central Dental Implant Pllc | |
|
44 S Central Ave Suite #2 Valley Stream NY 11580-5432 | |
| (516) 561-7788 | |
| Not Available |
| Full Name | South Central Dental Implant Pllc |
|---|---|
| Speciality | Dentist |
| Location | 44 S Central Ave, Valley Stream, New York |
| Authorized Official Name and Position | Michael Yehuda Ivry (OWNER) |
| Authorized Official Contact | 5165617788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Dental Implant Pllc 44 S Central Ave Suite #2 Valley Stream NY 11580-5432 Ph: (516) 561-7788 | South Central Dental Implant Pllc 44 S Central Ave Suite #2 Valley Stream NY 11580-5432 Ph: (516) 561-7788 |
| NPI Number | 1144767773 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047962 (New York) | Primary |
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