Individual
DR. LOAN SAM MAO-PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
470 PATCHOGUE HOLBROOK RD, HOLBROOK, NY 11741-1625
(631) 589-8485
Mailing address
470 PATCHOGUE HOLBROOK RD, HOLBROOK, NY 11741-1625
(631) 589-8485
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
50054287
NY
Other
Enumeration date
07/10/2008
Last updated
10/21/2010
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