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Organization
RADIANT STAR DENTAL PLLC
Active
Organization
RADIANT STAR DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMIT SEHGAL DDS (OWNER)
(516) 236-4415
Entity
Organization
Contact information
Practice address
8820 169TH ST, JAMAICA, NY 11432-4431
(718) 739-6961
Mailing address
16 HORSESHOE LN, LEVITTOWN, NY 11756-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04333620
—
NY
Enumeration date
06/06/2019
Last updated
06/06/2019
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