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Organization
STATION DENTAL ASSOCIATES INC.
Active
Organization
STATION DENTAL ASSOCIATES INC.
Active
Parent organization
STATION DENTAL ASSOCIATES INC.
Other names
Station Associates Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATION DENTAL ASSOCIATES INC.
Authorized official
MR. SHELDON GARY MILO DDS (OWNER)
(516) 448-4652
Entity
Organization
Contact information
Practice address
177 OLD COUNTRY RD, RIVERHEAD, NY 11901-2102
(631) 208-3068
(631) 208-3137
Mailing address
177 OLD COUNTRY RD, RIVERHEAD, NY 11901-2102
(631) 208-3068
(631) 208-3137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039610
NY
1223G0001X
General Practice Dentistry
039610
NY
1223G0001X
General Practice Dentistry
045455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672402
—
NY
Enumeration date
03/18/2008
Last updated
07/26/2016
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