Organization
STAT DENTAL PC
Active
Other names
Stat Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERROL LADER DDS (DENTIST/OWNER)
6315167957500
Entity
Organization
Contact information
Practice address
4160 MERRICK ROAD, MASSAPEQUA, NY 11758
(516) 795-7500
(516) 795-8102
Mailing address
4160 MERRICK ROAD, MASSAPEQUA, NY 11758
(516) 795-7500
(516) 795-8102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
030670-1
NY
Other
Enumeration date
01/08/2015
Last updated
01/12/2015
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