Organization · Type 2 NPI
Pediatric Dentistry of Long Island
Dental Clinic/Center · Medford, NY
NPI number
1629469499
Active
Practice location
1719 N Ocean Ave Ste C
Medford, NY 11763-2669
Fax (631) 654-4291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 041152 (NY) |
Dental Clinic/Center: Definition to come...
4 other providers at this address
About NPI 1629469499
Pediatric Dentistry of Long Island's National Provider Identifier is 1629469499, issued on Feb 13, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Medford, NY. The record was last updated on Feb 13, 2015.