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Organization

BRENTWOOD & BAY SHORE DENTAL ASSOCCIATES LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHELDON GARY MILO DDS (OWNER)
(631) 231-9314
Entity
Organization

Contact information

Practice address
27 WICKS RD, BRENTWOOD, NY 11717-4213
(631) 231-9314
(631) 952-1243
Mailing address
27 WICKS RD, BRENTWOOD, NY 11717-4213
(631) 231-9314
(631) 952-1243

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039610
NY
1223G0001X
General Practice Dentistry
045455
NY

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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