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Organization
NORMAN GROSS DDS BARRY WILDER DDS PC
Active
Organization
NORMAN GROSS DDS BARRY WILDER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILLE SPINELLA (OFFICE MANAGER)
(631) 732-0233
Entity
Organization
Contact information
Practice address
805 MIDDLE COUNTRY RD, SELDEN, NY 11784-2504
(631) 732-0233
(631) 732-0247
Mailing address
805 MIDDLE COUNTRY RD, SELDEN, NY 11784-2504
(631) 732-0233
(631) 732-0247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00652584
—
NY
05
—
00652759
—
NY
Enumeration date
04/01/2008
Last updated
04/01/2008
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