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Organization
UNIONDALE GENERAL DENTISTRY PC
Active
Organization
UNIONDALE GENERAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE PHILLIPS (PRESIDENT)
(516) 485-2782
Entity
Organization
Contact information
Practice address
645 PARK AVE, UNIONDALE, NY 11553
(516) 485-2782
Mailing address
645 PARK AVE, UNIONDALE, NY 11553-3247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046479
NY
Other
Enumeration date
05/08/2007
Last updated
01/26/2011
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