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Organization
STONY BROOK DENTAL PC
Active
Organization
STONY BROOK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MILLER DMD (PRESIDENT)
(617) 921-6292
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, SUITE 11, STONY BROOK, NY 11790-2555
(631) 751-7171
Mailing address
2500 NESCONSET HWY, SUITE 11, STONY BROOK, NY 11790-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MA20980
MA
Other
Enumeration date
09/10/2014
Last updated
08/27/2024
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