Organization
ADVANCED HYLAN DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BERTUZZI (PRACTICE MANAGER)
(845) 304-6110
Entity
Organization
Contact information
Practice address
2691 HYLAN BLVD, STATEN ISLAND, NY 10306-4300
(718) 987-3365
(718) 668-0183
Mailing address
2691 HYLAN BLVD, STATEN ISLAND, NY 10306-4300
(718) 987-3365
(718) 668-0183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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