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Organization

NORTH FORK DENTAL ASSOCIATES PC

Active
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Organization

NORTH FORK DENTAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER WILLIAM REDMOND D.D.S. (OWNER/DOCTOR)
(631) 298-9168
Entity
Organization

Contact information

Practice address
7555 MAIN RD, MATTITUCK, NY 11952-1516
(631) 298-9168
Mailing address
PO BOX 749, MATTITUCK, NY 11952-0749
(631) 298-9168
(631) 298-5728

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049170
NY

Other

Enumeration date
10/29/2005
Last updated
09/09/2016
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