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Organization
Y&S DENTAL PRACTICE PC.
Active
Organization
Y&S DENTAL PRACTICE PC.
Active
Other names
BAY SHORE FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH YAGHOUBIAN D.D.S. (V.P.)
(631) 968-5995
Entity
Organization
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 968-5995
(631) 968-5996
Mailing address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 968-5995
(631) 968-5996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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