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5B105STRDENTALPC

Dentist

NPI: 1306052618Organization

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

046206-1(NY)

Contact & Hours

Address
5 BEACH 105TH ST
ROCKAWAY PARK, NY 11694

Quick Facts

NPI
1306052618
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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