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Organization
PURE DENTAL OF LONG ISLAND PC
Active
Organization
PURE DENTAL OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAIGE OBERMAN (INSURANCE MANAGER)
(631) 663-0955
Entity
Organization
Contact information
Practice address
496 COUNTY ROAD 111, BUILDING F, MANORVILLE, NY 11949
(631) 929-5855
(631) 886-1971
Mailing address
496 COUNTY ROAD 111, BUILDING F, MANORVILLE, NY 11949
(631) 929-5855
(631) 886-1971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
11/13/2023
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