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Organization
SMITH HAVEN DENTAL PLLC
Active
Organization
SMITH HAVEN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA FISHMAN DDS (PARTNER)
(917) 667-5595
Entity
Organization
Contact information
Practice address
112 ALEXANDER AVE UNIT A, LAKE GROVE, NY 11755-0429
(631) 212-8400
(631) 212-8433
Mailing address
112 ALEXANDER AVE UNIT A, LAKE GROVE, NY 11755-0429
(631) 212-8400
(631) 212-8433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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