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Organization

FAMILY DENTAL CARE OF MASSAPEQUA P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY CARSTENS DDS (PRESIDENT)
(516) 541-7600
Entity
Organization

Contact information

Practice address
549 BROADWAY STE 102, MASSAPEQUA, NY 11758-5012
(516) 541-7600
(516) 541-7607
Mailing address
549 BROADWAY STE 102, MASSAPEQUA, NY 11758-5012
(516) 541-7600
(516) 541-7607

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/13/2023
Last updated
12/13/2023
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