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Organization
LIBERTY DENTAL CARE P.C.
Active
Organization
LIBERTY DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARLA SEUNARINE DDS (OWNER)
(718) 322-1415
Entity
Organization
Contact information
Practice address
11210 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1814
(718) 322-1415
(718) 880-2360
Mailing address
112-10 LIBERTY AVENUE, SOUTH RICHMOND HILL, NY 11419
(718) 322-1415
(718) 880-2360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
046341
NY
1223G0001X
General Practice Dentistry
Primary
053394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01742896
—
NY
05
—
02921479
—
NY
Enumeration date
08/05/2011
Last updated
08/05/2011
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