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Organization
MONTAUK DENTAL, P.C.
Active
Organization
MONTAUK DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MIRRAS DMD (SECRETARY)
(631) 682-1831
Entity
Organization
Contact information
Practice address
15 S EMBASSY ST, MONTAUK, NY 11954-5186
(631) 668-5959
Mailing address
15 S EMBASSY ST, MONTAUK, NY 11954-5186
(631) 668-5959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058011
NY
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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