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Organization
WHITE HALL DENTAL, PC
Active
Organization
WHITE HALL DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLENE BRONSTORPH (DIRECTOR)
(516) 850-3999
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7110
(718) 470-7393
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7110
(718) 470-7393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/06/2022
Last updated
06/05/2023
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