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Organization
SACHEM DENTAL GROUP
Active
Organization
SACHEM DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY GENTILE (PARTNER)
(631) 588-8280
Entity
Organization
Contact information
Practice address
469 HAWKINS AVE, SUITE 101, LAKE RONKONKOMA, NY 11779-4276
(631) 588-8280
(631) 588-6258
Mailing address
469 HAWKINS AVE, SUITE 101, LAKE RONKONKOMA, NY 11779-4276
(631) 588-8280
(631) 588-6258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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