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1528106986
EDGAR P FAYANS
OCEANSIDE, NY
NPI
1528106986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 037304)
Enumeration Date
2007-02-01
Last Update Date
2007-07-09
Business Address
Dr. EDGAR P FAYANS D.D.S.
255 SUNNYSIDE RD
OCEANSIDE, NY 11572-3342
Phone number: 516-763-4996
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Mailing Address
Dr. EDGAR P FAYANS D.D.S.
255 SUNNYSIDE RD
OCEANSIDE, NY 11572-3342
Phone number: 516-763-4996
Copy
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