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Organization
PATCHOGUE FAMILY DENTAL, PC
Active
Organization
PATCHOGUE FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARY RICHTER DMD (PRESIDENT)
(631) 475-1191
Entity
Organization
Contact information
Practice address
680 S COUNTRY RD, EAST PATCHOGUE, NY 11772-5551
(631) 475-1191
(631) 758-5351
Mailing address
680 S COUNTRY RD, EAST PATCHOGUE, NY 11772-5551
(631) 475-1191
(631) 758-5351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041854
NY
1223P0300X
Periodontics
050262
NY
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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