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Organization
MK DENTAL L.I. P.C.
Active
Organization
MK DENTAL L.I. P.C.
Active
Other names
East Hampton Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A. MAMBRINO D.D.S. (OWNER)
(631) 324-6800
Entity
Organization
Contact information
Practice address
56 THE CIR, EAST HAMPTON, NY 11937-2725
(631) 324-6800
(631) 324-7744
Mailing address
56 THE CIR, EAST HAMPTON, NY 11937-2725
(631) 324-6800
(631) 324-7744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
037803
NY
1223G0001X
General Practice Dentistry
Primary
050259
NY
1223G0001X
General Practice Dentistry
051152
NY
1223P0300X
Periodontics
053027
NY
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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