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Organization
SOUTH SHORE AESTHETIC DENTISTRY
Active
Organization
SOUTH SHORE AESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J TARAANTINO DDS (OWNER)
(516) 308-7121
Entity
Organization
Contact information
Practice address
4891 MERRICK RD, MASSAPEQUA PARK, NY 11762-3804
(516) 308-7121
(516) 308-7122
Mailing address
4891 MERRICK RD, MASSAPEQUA PARK, NY 11762-3804
(516) 308-7121
(516) 308-7122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052857
NY
Other
Enumeration date
08/25/2010
Last updated
12/29/2010
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