Organization
AJR FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN ROFFE D.D.S. (OWNER DENTIST)
(516) 295-2257
Entity
Organization
Contact information
Practice address
56 ATLANTIC AVE, FREEPORT, NY 11520-5038
(516) 208-8300
Mailing address
56 ATLANTIC AVE, FREEPORT, NY 11520-5038
(516) 208-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01574827
—
NY
Enumeration date
01/02/2014
Last updated
01/02/2014
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