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Organization
MIDDLE ISLAND DENTAL CARE PLLC
Active
Organization
MIDDLE ISLAND DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR KATSMAN DDS (OWNER)
(516) 302-7372
Entity
Organization
Contact information
Practice address
325 MIDDLE COUNTRY RD, SELDEN, NY 11784-2545
(631) 696-6600
Mailing address
2 AMY PL, WHITE PLAINS, NY 10605-3902
(516) 302-7372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03269418
—
NY
Enumeration date
01/20/2020
Last updated
01/20/2020
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