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Organization
SANFORD FAMILY DENTAL CARE, P.C.
Active
Organization
SANFORD FAMILY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SZUSTER DDS (DENTIST)
(718) 939-9090
Entity
Organization
Contact information
Practice address
13317 SANFORD AVE, SUITE LB, FLUSHING, NY 11355-3642
(718) 939-9090
Mailing address
13317 SANFORD AVE, SUITE LB, FLUSHING, NY 11355-3642
(718) 939-9090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046429-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017844
DORAL IPA
NY
05
—
01687609
—
NY
Enumeration date
04/03/2008
Last updated
04/03/2008
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