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Organization
SUNRISE DENTAL SERVICE P.C.
Active
Organization
SUNRISE DENTAL SERVICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOKKUMAR MAKADIA (PRESIDENT)
(631) 567-5566
Entity
Organization
Contact information
Practice address
1604 LAKELAND AVE, BOHEMIA, NY 11716-2146
(631) 567-5566
Mailing address
1604 LAKELAND AVE, BOHEMIA, NY 11716-2146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DENTIST 039691
NY
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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