# HUNTINGTON STATION DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962268144
- **Authorized official:** DR. BRIAN SEO DDS (OWNER)
- **Authorized official phone:** (317) 918-7075

## Contact information

- **Practice address:** 135 W JERICHO TPKE, HUNTINGTON STATION, NY 11746-3649
- **Practice address phone:** (317) 918-7075
- **Mailing address:** 135 W JERICHO TPKE, HUNTINGTON STATION, NY 11746-3649
- **Mailing address phone:** (317) 918-7075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 05/01/2024