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Organization
MOLAR DENTISTRY PLLC
Active
Organization
MOLAR DENTISTRY PLLC
Active
Other names
MOLAR TO MOLAR DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAIFALI RAMETRA DDS (OWNER)
(631) 771-1577
Entity
Organization
Contact information
Practice address
822 PROSPECT AVE, WESTBURY, NY 11590-3740
(516) 717-2690
(516) 717-2691
Mailing address
822 PROSPECT AVE, WESTBURY, NY 11590-3740
(516) 717-2690
(516) 717-2691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05364154
—
NY
Enumeration date
07/27/2017
Last updated
06/17/2022
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