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Organization
STAR DENTAL CARE II PC
Active
Organization
STAR DENTAL CARE II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEFALI MARCHAWALA DDS (PRESIDENT)
(631) 473-1338
Entity
Organization
Contact information
Practice address
1528 MAIN ST, PORT JEFFERSON STATION, NY 11777-2236
(631) 473-1338
(631) 473-1390
Mailing address
1528 MAIN ST, PORT JEFFERSON STATION, NY 11777-2236
(631) 473-1338
(631) 473-1390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047506-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01869305
—
NY
Enumeration date
02/21/2013
Last updated
02/21/2013
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