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Organization
WISDOM TOOTH OF LINDENHURST
Active
Organization
WISDOM TOOTH OF LINDENHURST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H KANTROWITZ DMD (OWNER)
(631) 225-1900
Entity
Organization
Contact information
Practice address
600D N WELLWOOD AVE, LINDENHURST, NY 11757
(631) 225-1900
(631) 225-1904
Mailing address
600D N WELLWOOD AVE, LINDENHURST, NY 11757
(631) 225-1900
(631) 225-1904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632820
—
NY
Enumeration date
05/13/2008
Last updated
05/13/2008
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