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Organization
PORT WASHINGTON DENTAL
Active
Organization
PORT WASHINGTON DENTAL
Active
Parent organization
S S SALEM DDS,PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
S S SALEM DDS,PLLC
Authorized official
DR. SULTAN S SALEM DDS (DENTIST/OWNER)
(516) 883-1234
Entity
Organization
Contact information
Practice address
27 S BAYLES AVE, PORT WASHINGTON, NY 11050-3708
(516) 883-1234
(516) 883-1357
Mailing address
27 S BAYLES AVE, PORT WASHINGTON, NY 11050-3708
(516) 883-1234
(516) 883-1357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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