MODERN DENTISTRY OF LONG ISLAND

PORT JEFFERSON, NY
NPI1487302006
Entity TypeOrganization
Authorized ContactHILSHA CARRION
Dentist
631-473-0582
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-03-13
Last Update Date2022-03-13
Business Address
MODERN DENTISTRY OF LONG ISLAND
714 MAIN ST
PORT JEFFERSON, NY 11777-2223
Phone number: 631-473-0582
Mailing Address
MODERN DENTISTRY OF LONG ISLAND
5 DOYLE CT
PORT JEFFERSON, NY 11777-1167
Phone number: 631-560-9536
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