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Organization
PHEDRYNE ROBERT DDS, PLLC
Active
Organization
PHEDRYNE ROBERT DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHEDRYNE ROBERT DDS (DENTIST)
(516) 307-1678
Entity
Organization
Contact information
Practice address
1309 DUTCH BROADWAY, VALLEY STREAM, NY 11580-1534
(516) 307-1678
Mailing address
1309 DUTCH BROADWAY, VALLEY STREAM, NY 11580-1534
(516) 307-1678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054341-1
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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