Organization
ISLAND PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA H SEO DDS (PRESIDENT)
(646) 409-3753
Entity
Organization
Contact information
Practice address
1300 UNION TPKE STE 307, NEW HYDE PARK, NY 11040-1759
(646) 409-3753
(866) 357-0569
Mailing address
1300 UNION TPKE STE 307, NEW HYDE PARK, NY 11040-1759
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054536
NY
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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