Organization
HAMPTON PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY COSENZA (OWNER)
(631) 287-8687
Entity
Organization
Contact information
Practice address
97 N MAIN ST, SOUTHAMPTON, NY 11968-3300
(631) 287-8687
Mailing address
97 N MAIN ST, SOUTHAMPTON, NY 11968-3300
(631) 287-8687
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
043391
NY
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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