NPI | 1003708421 |
---|---|
Doing Business As | LAGUNA DENTAL CAFE |
Entity Type | Organization |
Authorized Contact | MD AL MAMUN Owner Dentist 631-355-1485 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2025-07-18 |
Last Update Date | 2025-07-18 |