Organization
WANTAGH FAMILY ORTHODONTICS ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY J TSOTSOS DMD (ORTHODONTIST)
(516) 221-0925
Entity
Organization
Contact information
Practice address
3306 JERUSALEM AVE, WANTAGH, NY 11793-2014
(516) 221-0925
(516) 221-6395
Mailing address
3306 JERUSALEM AVE, WANTAGH, NY 11793-2014
(516) 221-0925
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
043-144
NY
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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