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Organization
TOTAL DENTAL CARE OF STATEN ISLAND, P.C.
Active
Organization
TOTAL DENTAL CARE OF STATEN ISLAND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LYLE ZATCOFF DMD (OWNER)
(718) 448-1144
Entity
Organization
Contact information
Practice address
135 WILLOWBROOK ROAD, STATEN ISLAND, NY 10302
(718) 448-1144
(718) 815-9028
Mailing address
135 WILLOWBROOK ROAD, STATEN ISLAND, NY 10302
(718) 448-1144
(718) 815-9028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50055536
NY
1223P0300X
Periodontics
051010
NY
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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