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Organization
PM DENTAL SERVICES PC
Active
Organization
PM DENTAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENNIS (DENTIST)
(718) 723-4878
Entity
Organization
Contact information
Practice address
207 BAYSHORE RD, DEER PARK, NY 11729-6930
(631) 748-6136
Mailing address
299 CANDLEWOOD PATH, DIX HILLS, NY 11746-8003
(631) 748-6136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
037149
NY
122300000X
Dentist
Primary
041974
NY
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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