| NPI | 1518838473 |
|---|---|
| Doing Business As | EASTLINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SIDDIQ TARIQ KARIM Dentist/Prosthodontist 516-820-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |