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Organization

HUNTINGTON FAMILY DENTISTRY PC

Active
Other names
Molar TO Molar Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAIFALI RAMETRA D.D.S (PRESIDENT)
(631) 771-1577
Entity
Organization

Contact information

Practice address
1679 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2406
(631) 771-1577
(631) 771-1571
Mailing address
1679 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2406
(631) 771-1577

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03744947
NY
Enumeration date
06/23/2013
Last updated
06/17/2022
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