Organization
ISLIP DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANTHONY BOTTNER DDS (OWNER DENTIST)
(631) 581-2038
Entity
Organization
Contact information
Practice address
375 MAIN STREET, ISLIP, NY 11751
(631) 581-2038
(631) 224-1322
Mailing address
375 MAIN STREET, ISLIP, NY 11751
(631) 581-2038
(631) 224-1322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0426301
NY
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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