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Organization
P.D.M FAMILY DENTAL, P.C.
Active
Organization
P.D.M FAMILY DENTAL, P.C.
Active
Other names
PM Dental, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARUL DUA MAKKAR D.D.S (PRESIDENT)
(516) 592-1555
Entity
Organization
Contact information
Practice address
295 N BROADWAY, JERICHO, NY 11753
(516) 388-5002
Mailing address
17 TALON WAY, DIX HILLS, NY 11746
(516) 388-5002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053657
NY
Other
Enumeration date
01/05/2018
Last updated
07/31/2018
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