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Organization
THE WISDOM TOOTH OF COMMACK
Active
Organization
THE WISDOM TOOTH OF COMMACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H KANTROWITZ D.M.D. (OWNER)
(631) 462-0300
Entity
Organization
Contact information
Practice address
6040 JERICHO TPKE, COMMACK, NY 11725-2806
(631) 462-0300
(631) 462-0347
Mailing address
6040 JERICHO TPKE, COMMACK, NY 11725-2806
(631) 462-0300
(631) 462-0347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035654
NY
Other
Enumeration date
05/15/2007
Last updated
05/13/2008
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