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1225183551
BROADWAY MALL DENTAL
HICKSVILLE, NY
NPI
1225183551
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Entity Type
Organization
Authorized Contact
IGOR LEVIN
Owner
516-933-3444
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-01-25
Last Update Date
2020-08-22
Business Address
BROADWAY MALL DENTAL
200 BROADWAY MALL
HICKSVILLE, NY 11801
Phone number: 516-933-3444
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Mailing Address
BROADWAY MALL DENTAL
200 BROADWAY MALL
HICKSVILLE, NY 11801
Phone number: 516-933-3444
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