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Organization
PETER YELIZAR DDS PLLC
Active
Organization
PETER YELIZAR DDS PLLC
Active
Other names
simplismiles
Organization subpart
No
Provider details
NPI number
Authorized official
PETER YELIZAR DDS (GENERAL DENTIST)
(347) 685-9511
Entity
Organization
Contact information
Practice address
400 S OYSTER BAY RD STE 105, HICKSVILLE, NY 11801-3500
(347) 685-9511
Mailing address
400 S OYSTER BAY RD STE 105, HICKSVILLE, NY 11801-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0568111-1
NY
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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