Organization
MERRICK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASSOS S KATECHIS D.D.S (OWNER)
(516) 378-1725
Entity
Organization
Contact information
Practice address
1846 MERRICK AVE, MERRICK, NY 11566-2730
(516) 378-1725
(516) 223-6406
Mailing address
1846 MERRICK AVE, MERRICK, NY 11566-2730
(516) 378-1725
(516) 223-6406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052953
NY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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