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Organization
NEW YORK FAMILY DENTISTRY EAST PLLC
Active
Organization
NEW YORK FAMILY DENTISTRY EAST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
645 COMMACK RD, COMMACK, NY 11725-5401
(631) 858-9800
Mailing address
645 COMMACK RD, COMMACK, NY 11725-5401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
07/21/2026
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