Organization
FAMILY DENTAL OF BRENTWOOD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS G MILHIM DMD (OWNER/DENTIST)
(631) 665-2323
Entity
Organization
Contact information
Practice address
769 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 665-2323
(631) 647-7003
Mailing address
769 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 665-2323
(631) 647-7003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034623-1
NY
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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